| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,394.67 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $818.35 | $3,592.00 | $8,868.31 | |
AllWays Health Partners
| Facility | AS | $568.48 | $568.48 | $1,146.01 |
Fallon Health
| Facility | $300.00 | $3,472.00 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $2,854.00 | $27,167.52 | |
Mass General Brigham
| Facility | AS | $568.48 | $568.48 | $1,146.01 |
United
| Facility | $953.00 | $3,325.00 | $4,662.00 |