| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $869.04 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $789.00 | $2,162.96 | $7,231.00 | |
AllWays Health Partners
| Facility | AS | $219.93 | $219.93 | $430.90 |
Fallon Health
| Facility | $300.00 | $1,397.03 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $2,854.00 | $10,781.94 | |
Mass General Brigham
| Facility | AS | $219.93 | $219.93 | $430.90 |
United
| Facility | $953.00 | $3,325.00 | $4,662.00 |