| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,249.00 | $2,747.00 | $5,039.00 | |
AllWays Health Partners
| Facility | $902.81 | $4,402.00 | $7,984.00 | |
AllWays Health Partners
| Facility | AS | $757.42 | $757.42 | $757.42 |
Fallon Health
| Facility | $803.11 | $1,349.66 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $4,983.00 | $9,401.00 | |
Mass General Brigham
| Facility | AS | $757.42 | $757.42 | $757.42 |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |