| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $2,894.00 | $6,107.00 | |
AllWays Health Partners
| Facility | $789.00 | $2,447.08 | $7,231.00 | |
AllWays Health Partners
| Facility | AS | $249.77 | $249.77 | $487.93 |
Fallon Health
| Facility | $984.62 | $1,909.00 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $2,854.00 | $7,488.16 | |
Mass General Brigham
| Facility | AS | $249.77 | $249.77 | $487.93 |
United
| Facility | $953.00 | $3,325.00 | $4,662.00 |