| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $763.08 | $2,747.00 | $5,454.00 | |
Aetna
| Facility | 52 | $381.54 | $381.54 | $381.54 |
AllWays Health Partners
| Facility | $941.10 | $2,486.10 | $11,500.00 | |
AllWays Health Partners
| Facility | 52 | $1,501.84 | $1,501.84 | $2,944.24 |
Fallon Health
| Facility | $300.00 | $1,192.02 | $8,090.00 | |
Mass General Brigham
| Facility | $953.00 | $3,466.00 | $11,500.00 | |
Mass General Brigham
| Facility | 52 | $1,501.84 | $1,501.84 | $2,944.24 |
United
| Facility | $953.00 | $3,325.00 | $4,662.00 |