| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,094.00 | $3,685.00 | |
AllWays Health Partners
| Facility | $941.10 | $4,287.00 | $7,608.00 | |
AllWays Health Partners
| Facility | AS | $210.38 | $210.38 | $1,045.32 |
Fallon Health
| Facility | $848.03 | $1,837.48 | $6,679.00 | |
Mass General Brigham
| Facility | $55.00 | $4,983.00 | $11,028.25 | |
Mass General Brigham
| Facility | AS | $210.38 | $210.38 | $1,045.32 |
United
| Facility | $2,155.00 | $4,983.00 | $9,401.00 |