| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $497.86 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $538.08 | $1,527.57 | $4,050.00 | |
AllWays Health Partners
| Facility | AS | $115.81 | $115.81 | $232.17 |
Fallon Health
| Facility | $300.00 | $765.80 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $2,321.66 | $5,876.00 | |
Mass General Brigham
| Facility | AS | $115.81 | $115.81 | $232.17 |
United
| Facility | $953.00 | $3,325.00 | $4,662.00 |