| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $766.34 | $2,747.00 | $7,625.00 | |
AllWays Health Partners
| Facility | $789.00 | $2,078.00 | $7,231.00 | |
AllWays Health Partners
| Facility | AS | $193.26 | $193.26 | $377.83 |
Fallon Health
| Facility | $764.26 | $1,633.72 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $2,854.00 | $9,478.69 | |
Mass General Brigham
| Facility | AS | $193.26 | $193.26 | $377.83 |
United
| Facility | $953.00 | $3,325.00 | $4,662.00 |