| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,999.83 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $818.35 | $4,983.00 | $12,534.34 | |
AllWays Health Partners
| Facility | AS | $489.99 | $489.99 | $950.04 |
Fallon Health
| Facility | $1,905.75 | $3,011.09 | $8,208.00 | |
Mass General Brigham
| Facility | $55.00 | $5,268.00 | $12,534.34 | |
Mass General Brigham
| Facility | AS | $489.99 | $489.99 | $950.04 |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |