| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,174.90 | $3,388.44 | $5,623.41 | |
AllWays Health Partners
| Facility | $1,862.09 | $7,079.46 | $33,884.42 | |
AllWays Health Partners
| Facility | AS | $1,995.26 | $1,995.26 | $1,995.26 |
Fallon Health
| Facility | $707.95 | $1,698.24 | $7,079.46 | |
Harvard Pilgrim
| Facility | $2,511.89 | $6,165.95 | $13,182.57 | |
Health New England
| Facility | $19,498.45 | $19,498.45 | $19,498.45 | |
Mass General Brigham
| Facility | $1,949.84 | $7,079.46 | $33,884.42 | |
Mass General Brigham
| Facility | AS | $1,995.26 | $1,995.26 | $1,995.26 |
United
| Facility | $2,511.89 | $6,309.57 | $13,803.84 |