| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $3,630.78 | $5,623.41 | |
AllWays Health Partners
| Facility | $1,202.26 | $4,897.79 | $33,884.42 | |
AllWays Health Partners
| Facility | AS | $891.25 | $891.25 | $891.25 |
Fallon Health
| Facility | $512.86 | $1,122.02 | $7,079.46 | |
Harvard Pilgrim
| Facility | $1,995.26 | $4,265.80 | $9,772.37 | |
Health New England
| Facility | $1,778.28 | $1,778.28 | $4,365.16 | |
Mass General Brigham
| Facility | $1,258.93 | $4,897.79 | $33,884.42 | |
Mass General Brigham
| Facility | AS | $891.25 | $891.25 | $891.25 |
United
| Facility | $1,862.09 | $4,265.80 | $9,772.37 |