| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,238.72 | $3,801.89 | |
AllWays Health Partners
| Facility | $954.99 | $2,398.83 | $5,011.87 | |
AllWays Health Partners
| Facility | AS | $1,548.82 | $1,548.82 | $1,548.82 |
Fallon Health
| Facility | $302.00 | $1,412.54 | $8,511.38 | |
Harvard Pilgrim
| Facility | $630.96 | $2,041.74 | $3,467.37 | |
Mass General Brigham
| Facility | $954.99 | $2,398.83 | $5,011.87 | |
Mass General Brigham
| Facility | AS | $1,548.82 | $1,548.82 | $1,548.82 |
United
| Facility | $630.96 | $1,862.09 | $2,818.38 |