| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,209.08 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $789.00 | $3,414.00 | $7,305.75 | |
AllWays Health Partners
| Facility | AS | $528.57 | $528.57 | $1,067.11 |
Fallon Health
| Facility | $300.00 | $3,265.02 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $2,854.00 | $25,162.68 | |
Mass General Brigham
| Facility | AS | $528.57 | $528.57 | $1,067.11 |
United
| Facility | $953.00 | $3,372.00 | $5,876.00 |