| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $3,715.35 | $6,760.83 | |
AllWays Health Partners
| Facility | $1,548.82 | $7,413.10 | $33,884.42 | |
AllWays Health Partners
| Facility | AS | $2,630.27 | $2,630.27 | $2,630.27 |
Fallon Health
| Facility | $616.60 | $1,348.96 | $7,079.46 | |
Harvard Pilgrim
| Facility | $2,570.40 | $6,918.31 | $15,488.17 | |
Health New England
| Facility | $2,570.40 | $2,570.40 | $4,897.79 | |
Mass General Brigham
| Facility | $1,548.82 | $7,413.10 | $33,884.42 | |
Mass General Brigham
| Facility | AS | $2,630.27 | $2,630.27 | $2,630.27 |
United
| Facility | $2,570.40 | $7,244.36 | $16,595.87 |