| 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 | $2,344.23 | $6,025.60 | $40,738.03 | |
AllWays Health Partners
| Facility | 62 | $10,232.93 | $10,232.93 | $10,232.93 |
AllWays Health Partners
| Facility | AS | $1,621.81 | $1,621.81 | $1,621.81 |
Fallon Health
| Facility | $302.00 | $2,089.30 | $8,511.38 | |
Harvard Pilgrim
| Facility | $2,691.53 | $6,918.31 | $20,417.38 | |
Mass General Brigham
| Facility | $2,691.53 | $6,025.60 | $40,738.03 | |
Mass General Brigham
| Facility | 62 | $10,232.93 | $10,232.93 | $10,232.93 |
Mass General Brigham
| Facility | AS | $1,621.81 | $1,621.81 | $1,621.81 |
United
| Facility | $2,691.53 | $7,244.36 | $33,884.42 |