| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,733.00 | $4,712.00 | |
AllWays Health Partners
| Facility | $789.00 | $2,232.76 | $6,677.12 | |
AllWays Health Partners
| Facility | AS | $229.00 | $229.00 | $442.90 |
Fallon Health
| Facility | $888.83 | $1,899.36 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $2,854.00 | $7,231.00 | |
Mass General Brigham
| Facility | AS | $229.00 | $229.00 | $442.90 |
United
| Facility | $953.00 | $3,325.00 | $4,662.00 |