| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,351.71 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $953.00 | $3,729.00 | $7,687.12 | |
AllWays Health Partners
| Facility | AS | $562.04 | $562.04 | $1,124.02 |
Fallon Health
| Facility | $300.00 | $3,415.99 | $8,090.00 | |
Mass General Brigham
| Facility | $953.00 | $3,466.00 | $24,107.38 | |
Mass General Brigham
| Facility | AS | $562.04 | $562.04 | $1,124.02 |
United
| Facility | $953.00 | $3,325.00 | $4,662.00 |