| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,691.53 | $4,677.35 | $9,332.54 | |
AllWays Health Partners
| Facility | $1,513.56 | $6,309.57 | $33,884.42 | |
AllWays Health Partners
| Facility | AS | $2,754.23 | $2,754.23 | $2,754.23 |
Fallon Health
| Facility | $602.56 | $1,288.25 | $7,762.47 | |
Harvard Pilgrim
| Facility | $2,511.89 | $6,165.95 | $13,182.57 | |
Health New England
| Facility | $4,365.16 | $5,623.41 | $8,511.38 | |
Mass General Brigham
| Facility | $1,513.56 | $6,309.57 | $33,884.42 | |
Mass General Brigham
| Facility | AS | $2,754.23 | $2,754.23 | $2,754.23 |
United
| Facility | $2,511.89 | $6,309.57 | $13,803.84 |