| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,423.00 | $2,894.00 | $6,075.00 | |
AllWays Health Partners
| Facility | $1,697.00 | $5,904.00 | $13,486.75 | |
AllWays Health Partners
| Facility | AS | $190.98 | $190.98 | $1,279.44 |
Fallon Health
| Facility | $734.40 | $1,565.58 | $6,679.00 | |
Mass General Brigham
| Facility | $2,386.00 | $6,883.00 | $14,018.00 | |
Mass General Brigham
| Facility | AS | $190.98 | $190.98 | $1,279.44 |
United
| Facility | $2,386.00 | $5,904.00 | $13,017.00 |