| 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 | $1,697.00 | $6,078.00 | $41,339.44 | |
AllWays Health Partners
| Facility | AS | $218.90 | $218.90 | $4,909.63 |
Fallon Health
| Facility | $883.33 | $1,909.00 | $6,679.00 | |
Mass General Brigham
| Facility | $2,386.00 | $7,292.00 | $20,000.00 | |
Mass General Brigham
| Facility | AS | $218.90 | $218.90 | $4,909.63 |
United
| Facility | $2,386.00 | $5,904.00 | $12,769.00 |