| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $3,715.35 | $6,456.54 | |
AllWays Health Partners
| Facility | $1,621.81 | $6,760.83 | $34,673.69 | |
AllWays Health Partners
| Facility | AS | $5,495.41 | $5,495.41 | $5,495.41 |
Fallon Health
| Facility | $645.65 | $1,380.38 | $7,079.46 | |
Harvard Pilgrim
| Facility | $2,691.53 | $6,918.31 | $23,988.33 | |
Mass General Brigham
| Facility | $1,621.81 | $6,760.83 | $34,673.69 | |
Mass General Brigham
| Facility | AS | $5,495.41 | $5,495.41 | $5,495.41 |
United
| Facility | $2,691.53 | $7,244.36 | $27,542.29 |