| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,094.00 | $3,685.00 | |
Aetna
| Facility | 52 | $416.48 | $416.48 | $416.48 |
AllWays Health Partners
| Facility | $1,869.94 | $7,292.00 | $33,352.30 | |
AllWays Health Partners
| Facility | 52 | $1,658.36 | $1,658.36 | $73,014.52 |
Fallon Health
| Facility | $796.50 | $1,349.66 | $6,679.00 | |
Mass General Brigham
| Facility | $2,540.00 | $7,950.00 | $17,973.00 | |
Mass General Brigham
| Facility | 52 | $1,658.36 | $1,658.36 | $73,014.52 |
United
| Facility | $2,540.00 | $7,157.00 | $14,101.00 |