| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,618.00 | $3,627.00 | $8,471.00 | |
AllWays Health Partners
| Facility | $818.35 | $4,254.00 | $14,644.20 | |
AllWays Health Partners
| Facility | AS | $319.89 | $319.89 | $635.59 |
Fallon Health
| Facility | $1,278.78 | $1,927.24 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $6,078.00 | $15,421.00 | |
Mass General Brigham
| Facility | AS | $319.89 | $319.89 | $635.59 |
United
| Facility | $2,386.00 | $6,883.00 | $15,421.00 |