| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,671.00 | $4,553.00 | |
AllWays Health Partners
| Facility | $1,551.64 | $6,883.00 | $26,542.00 | |
AllWays Health Partners
| Facility | AS | $1,618.01 | $1,618.01 | $1,618.01 |
Fallon Health
| Facility | $652.22 | $1,386.42 | $6,679.00 | |
Mass General Brigham
| Facility | $2,386.00 | $7,292.00 | $26,542.00 | |
Mass General Brigham
| Facility | AS | $1,618.01 | $1,618.01 | $1,618.01 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |