| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $3,311.31 | $5,128.61 | |
AllWays Health Partners
| Facility | $1,995.26 | $4,570.88 | $12,302.69 | |
AllWays Health Partners
| Facility | 62 | $8,912.51 | $8,912.51 | $8,912.51 |
AllWays Health Partners
| Facility | AS | $1,412.54 | $1,412.54 | $1,412.54 |
Fallon Health
| Facility | $575.44 | $2,951.21 | $7,079.46 | |
Harvard Pilgrim
| Facility | $1,995.26 | $4,265.80 | $9,772.37 | |
Mass General Brigham
| Facility | $1,995.26 | $4,570.88 | $12,302.69 | |
Mass General Brigham
| Facility | 62 | $8,912.51 | $8,912.51 | $8,912.51 |
Mass General Brigham
| Facility | AS | $1,412.54 | $1,412.54 | $1,412.54 |
United
| Facility | $1,288.25 | $3,801.89 | $9,120.11 |