| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,819.70 | $3,630.78 | $5,623.41 | |
AllWays Health Partners
| Facility | $1,659.59 | $6,165.95 | $33,884.42 | |
AllWays Health Partners
| Facility | AS | $1,995.26 | $1,995.26 | $1,995.26 |
Fallon Health
| Facility | $707.95 | $1,584.89 | $7,079.46 | |
Harvard Pilgrim
| Facility | $2,137.96 | $5,248.07 | $11,220.18 | |
Mass General Brigham
| Facility | $1,737.80 | $6,165.95 | $33,884.42 | |
Mass General Brigham
| Facility | AS | $1,995.26 | $1,995.26 | $1,995.26 |
United
| Facility | $2,041.74 | $5,248.07 | $13,182.57 |