| 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 | $1,737.80 | $5,888.44 | $19,054.61 | |
AllWays Health Partners
| Facility | AS | $2,630.27 | $2,630.27 | $2,630.27 |
Fallon Health
| Facility | $758.58 | $1,659.59 | $7,079.46 | |
Harvard Pilgrim
| Facility | $2,511.89 | $6,165.95 | $13,182.57 | |
Health New England
| Facility | $6,025.60 | $6,025.60 | $6,025.60 | |
Mass General Brigham
| Facility | $1,862.09 | $5,888.44 | $19,054.61 | |
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 |