| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.79 | $2,747.00 | $5,454.00 | |
AllWays Health Partners
| Facility | $151.86 | $947.00 | $3,445.00 | |
AllWays Health Partners
| Facility | AS | $15.19 | $15.19 | $40.89 |
Fallon Health
| Facility | $84.23 | $176.16 | $6,679.00 | |
Mass General Brigham
| Facility | $308.00 | $1,818.00 | $3,779.00 | |
Mass General Brigham
| Facility | AS | $15.19 | $15.19 | $40.89 |
United
| Facility | $627.00 | $1,818.00 | $2,733.00 |