| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,163.95 | $2,618.00 | $4,767.00 | |
AllWays Health Partners
| Facility | $1,313.00 | $3,630.26 | $9,039.00 | |
AllWays Health Partners
| Facility | AS | $202.37 | $202.37 | $497.27 |
Fallon Health
| Facility | $798.72 | $1,723.80 | $6,679.00 | |
Mass General Brigham
| Facility | $1,902.00 | $4,509.66 | $16,394.00 | |
Mass General Brigham
| Facility | AS | $202.37 | $202.37 | $497.27 |
United
| Facility | $1,902.00 | $3,764.00 | $8,766.00 |