| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $2,884.03 | $5,128.61 | |
AllWays Health Partners
| Facility | $1,096.48 | $3,162.28 | $28,840.32 | |
AllWays Health Partners
| Facility | 54 | $3,311.31 | $3,311.31 | $3,311.31 |
Fallon Health
| Facility | $489.78 | $1,071.52 | $7,079.46 | |
Harvard Pilgrim
| Facility | $1,698.24 | $3,630.78 | $8,511.38 | |
Mass General Brigham
| Facility | $1,096.48 | $3,162.28 | $28,840.32 | |
Mass General Brigham
| Facility | 54 | $3,311.31 | $3,311.31 | $3,311.31 |
United
| Facility | $1,584.89 | $3,630.78 | $8,511.38 |