| 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 | $575.44 | $1,862.09 | $5,011.87 | |
AllWays Health Partners
| Facility | 62 | $3,548.13 | $3,548.13 | $3,548.13 |
AllWays Health Partners
| Facility | AS | $562.34 | $562.34 | $562.34 |
Fallon Health
| Facility | $302.00 | $512.86 | $8,511.38 | |
Harvard Pilgrim
| Facility | $630.96 | $2,041.74 | $3,467.37 | |
Mass General Brigham
| Facility | $575.44 | $1,862.09 | $5,011.87 | |
Mass General Brigham
| Facility | 62 | $3,548.13 | $3,548.13 | $3,548.13 |
Mass General Brigham
| Facility | AS | $562.34 | $562.34 | $562.34 |
United
| Facility | $630.96 | $1,862.09 | $2,818.38 |