| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $399.81 | $2,669.00 | $8,272.00 | |
AllWays Health Partners
| Facility | $2,324.00 | $6,204.00 | $16,223.75 | |
AllWays Health Partners
| Facility | AS | $101.59 | $1,537.78 | $1,537.78 |
Mass General Brigham
| Facility | $2,324.00 | $6,204.00 | $16,223.75 | |
Mass General Brigham
| Facility | AS | $101.59 | $1,537.78 | $1,537.78 |
United
| Facility | $2,324.00 | $3,895.00 | $12,850.00 |