| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $296.33 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $673.10 | $2,078.00 | $5,000.00 | |
AllWays Health Partners
| Facility | AS | $69.92 | $69.92 | $138.26 |
Fallon Health
| Facility | $281.95 | $452.21 | $8,090.00 | |
Mass General Brigham
| Facility | $953.00 | $3,466.00 | $5,876.00 | |
Mass General Brigham
| Facility | AS | $69.92 | $69.92 | $138.26 |
United
| Facility | $953.00 | $3,325.00 | $4,662.00 |