| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.93 | $3,715.35 | $12,302.69 | |
AllWays Health Partners
| Facility | $1,479.11 | $5,623.41 | $33,884.42 | |
AllWays Health Partners
| Facility | AS | $2,570.40 | $2,570.40 | $2,570.40 |
Fallon Health
| Facility | $616.60 | $1,348.96 | $7,079.46 | |
Harvard Pilgrim
| Facility | $2,137.96 | $5,248.07 | $11,220.18 | |
Health New England
| Facility | $1,548.82 | $1,548.82 | $1,548.82 | |
Mass General Brigham
| Facility | $1,548.82 | $5,623.41 | $33,884.42 | |
Mass General Brigham
| Facility | AS | $2,570.40 | $2,570.40 | $2,570.40 |
United
| Facility | $2,041.74 | $5,248.07 | $13,182.57 |