| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,421.00 | $2,663.12 | $3,693.00 | |
AllWays Health Partners
| Facility | $1,268.79 | $3,630.26 | $9,039.00 | |
AllWays Health Partners
| Facility | AS | $194.51 | $194.51 | $497.27 |
Fallon Health
| Facility | $767.84 | $1,659.96 | $6,679.00 | |
Mass General Brigham
| Facility | $1,902.00 | $4,525.00 | $16,394.00 | |
Mass General Brigham
| Facility | AS | $194.51 | $194.51 | $497.27 |
United
| Facility | $1,902.00 | $3,997.00 | $8,766.00 |