| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.34 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $402.70 | $2,078.00 | $5,000.00 | |
AllWays Health Partners
| Facility | AS | $42.42 | $42.42 | $82.94 |
Fallon Health
| Facility | $168.75 | $300.00 | $8,090.00 | |
Mass General Brigham
| Facility | $953.00 | $3,372.00 | $5,876.00 | |
Mass General Brigham
| Facility | AS | $42.42 | $42.42 | $82.94 |
United
| Facility | $953.00 | $3,372.00 | $4,662.00 |