| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,691.53 | $5,011.87 | $9,332.54 | |
AllWays Health Partners
| Facility | $1,659.59 | $5,623.41 | $33,884.42 | |
AllWays Health Partners
| Facility | AS | $1,148.15 | $1,148.15 | $1,148.15 |
Fallon Health
| Facility | $812.83 | $1,778.28 | $7,762.47 | |
Harvard Pilgrim
| Facility | $2,137.96 | $5,248.07 | $11,220.18 | |
Health New England
| Facility | $6,165.95 | $6,760.83 | $8,709.64 | |
Mass General Brigham
| Facility | $1,949.84 | $5,623.41 | $33,884.42 | |
Mass General Brigham
| Facility | AS | $1,148.15 | $1,148.15 | $1,148.15 |
United
| Facility | $2,041.74 | $5,248.07 | $10,715.19 |