| 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 | $1,737.80 | $4,677.35 | $19,054.61 | |
AllWays Health Partners
| Facility | AS | $1,995.26 | $1,995.26 | $1,995.26 |
Fallon Health
| Facility | $575.44 | $1,513.56 | $7,079.46 | |
Harvard Pilgrim
| Facility | $2,570.40 | $6,918.31 | $15,488.17 | |
Mass General Brigham
| Facility | $1,862.09 | $4,677.35 | $19,054.61 | |
Mass General Brigham
| Facility | AS | $1,995.26 | $1,995.26 | $1,995.26 |
United
| Facility | $2,570.40 | $7,244.36 | $16,595.87 |