| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $216.79 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $233.56 | $953.00 | $4,050.00 | |
AllWays Health Partners
| Facility | AS | $52.27 | $52.27 | $101.26 |
Fallon Health
| Facility | $206.84 | $329.40 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $2,078.00 | $5,876.00 | |
Mass General Brigham
| Facility | AS | $52.27 | $52.27 | $101.26 |
United
| Facility | $953.00 | $3,325.00 | $4,662.00 |