| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,139.58 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $789.00 | $2,733.00 | $7,231.00 | |
AllWays Health Partners
| Facility | 62 | $1,684.61 | $1,684.61 | $3,388.65 |
Fallon Health
| Facility | $1,095.32 | $1,811.48 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $2,854.00 | $11,625.57 | |
Mass General Brigham
| Facility | 62 | $1,684.61 | $1,684.61 | $3,388.65 |
United
| Facility | $953.00 | $3,325.00 | $4,662.00 |