| 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 | $818.35 | $3,245.00 | $10,174.20 | |
AllWays Health Partners
| Facility | AS | $135.53 | $135.53 | $1,196.53 |
Fallon Health
| Facility | $300.00 | $848.30 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $4,402.00 | $11,272.00 | |
Mass General Brigham
| Facility | AS | $135.53 | $135.53 | $1,196.53 |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |