| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $586.62 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $818.35 | $4,402.00 | $9,401.00 | |
AllWays Health Partners
| Facility | AS | $145.07 | $145.07 | $1,045.32 |
Fallon Health
| Facility | $300.00 | $961.11 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $5,268.00 | $11,028.25 | |
Mass General Brigham
| Facility | AS | $145.07 | $145.07 | $1,045.32 |
United
| Facility | $2,155.00 | $4,983.00 | $8,810.00 |