| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $3,311.31 | $5,128.61 | |
AllWays Health Partners
| Facility | $56.23 | $2,818.38 | $8,709.64 | |
AllWays Health Partners
| Facility | AS | $660.69 | $660.69 | $660.69 |
Fallon Health
| Facility | $302.00 | $1,318.26 | $8,511.38 | |
Harvard Pilgrim
| Facility | $1,995.26 | $4,265.80 | $9,772.37 | |
Mass General Brigham
| Facility | $56.23 | $2,818.38 | $8,709.64 | |
Mass General Brigham
| Facility | AS | $660.69 | $660.69 | $660.69 |
United
| Facility | $1,862.09 | $4,265.80 | $12,302.69 |