| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,747.00 | $4,806.64 | |
AllWays Health Partners
| Facility | $789.00 | $2,339.28 | $7,231.00 | |
AllWays Health Partners
| Facility | AS | $455.59 | $455.59 | $455.59 |
Fallon Health
| Facility | $931.43 | $1,909.00 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $2,854.00 | $8,092.17 | |
Mass General Brigham
| Facility | AS | $455.59 | $455.59 | $455.59 |
United
| Facility | $953.00 | $3,325.00 | $4,662.00 |