| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $3,388.44 | $5,370.32 | |
AllWays Health Partners
| Facility | $1,584.89 | $7,079.46 | $33,884.42 | |
AllWays Health Partners
| Facility | AS | $2,630.27 | $2,630.27 | $2,630.27 |
Fallon Health
| Facility | $630.96 | $1,348.96 | $7,079.46 | |
Harvard Pilgrim
| Facility | $2,511.89 | $6,165.95 | $13,182.57 | |
Mass General Brigham
| Facility | $1,584.89 | $7,079.46 | $33,884.42 | |
Mass General Brigham
| Facility | AS | $2,630.27 | $2,630.27 | $2,630.27 |
United
| Facility | $2,511.89 | $6,309.57 | $13,803.84 |