| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $4,073.80 | $7,585.78 | |
AllWays Health Partners
| Facility | $1,995.26 | $5,011.87 | $28,840.32 | |
AllWays Health Partners
| Facility | AS | $1,905.46 | $1,905.46 | $1,905.46 |
Fallon Health
| Facility | $575.44 | $2,344.23 | $7,079.46 | |
Harvard Pilgrim
| Facility | $2,570.40 | $6,918.31 | $15,488.17 | |
Mass General Brigham
| Facility | $1,995.26 | $5,011.87 | $28,840.32 | |
Mass General Brigham
| Facility | AS | $1,905.46 | $1,905.46 | $1,905.46 |
United
| Facility | $2,089.30 | $6,918.31 | $20,892.96 |