| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,107.40 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $818.35 | $2,670.21 | $7,231.00 | |
AllWays Health Partners
| Facility | AS | $269.73 | $269.73 | $537.61 |
Fallon Health
| Facility | $300.00 | $1,744.76 | $8,090.00 | |
Mass General Brigham
| Facility | $55.00 | $3,372.00 | $9,231.39 | |
Mass General Brigham
| Facility | AS | $269.73 | $269.73 | $537.61 |
United
| Facility | $953.00 | $3,325.00 | $4,662.00 |