| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,659.59 | $3,388.44 | $7,762.47 | |
AllWays Health Partners
| Facility | $1,380.38 | $7,413.10 | $45,708.82 | |
AllWays Health Partners
| Facility | AS | $2,570.40 | $2,570.40 | $2,570.40 |
Fallon Health
| Facility | $549.54 | $1,174.90 | $7,079.46 | |
Harvard Pilgrim
| Facility | $2,570.40 | $6,918.31 | $15,488.17 | |
Mass General Brigham
| Facility | $1,380.38 | $7,413.10 | $45,708.82 | |
Mass General Brigham
| Facility | AS | $2,570.40 | $2,570.40 | $2,570.40 |
United
| Facility | $2,570.40 | $7,244.36 | $16,595.87 |