| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,485.00 | $2,663.12 | $3,693.00 | |
AllWays Health Partners
| Facility | $689.87 | $2,085.98 | $7,692.41 | |
AllWays Health Partners
| Facility | AS | $150.55 | $150.55 | $305.79 |
Fallon Health
| Facility | $611.48 | $1,328.64 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $3,592.00 | $8,498.00 | |
Mass General Brigham
| Facility | AS | $150.55 | $150.55 | $305.79 |
United
| Facility | $1,640.00 | $3,372.00 | $8,425.00 |