| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $2,894.76 | $6,107.00 | |
AllWays Health Partners
| Facility | $1,939.00 | $6,204.00 | $12,850.00 | |
AllWays Health Partners
| Facility | AS | $234.42 | $234.42 | $1,279.44 |
Fallon Health
| Facility | $900.76 | $1,909.00 | $6,679.00 | |
Mass General Brigham
| Facility | $2,324.00 | $6,741.12 | $13,486.75 | |
Mass General Brigham
| Facility | AS | $234.42 | $234.42 | $1,279.44 |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |