| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,618.00 | $3,107.00 | $8,271.00 | |
AllWays Health Partners
| Facility | $941.10 | $4,916.00 | $12,850.00 | |
AllWays Health Partners
| Facility | AS | $324.74 | $324.74 | $1,324.34 |
Fallon Health
| Facility | $1,280.59 | $2,058.08 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $5,097.00 | $13,773.00 | |
Mass General Brigham
| Facility | AS | $324.74 | $324.74 | $1,324.34 |
United
| Facility | $2,324.00 | $5,097.00 | $10,764.00 |