| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,344.23 | $5,623.41 | |
AllWays Health Partners
| Facility | $891.25 | $4,897.79 | $19,498.45 | |
AllWays Health Partners
| Facility | AS | $891.25 | $891.25 | $891.25 |
Fallon Health
| Facility | $363.08 | $794.33 | $7,079.46 | |
Harvard Pilgrim
| Facility | $1,995.26 | $4,265.80 | $9,772.37 | |
Mass General Brigham
| Facility | $891.25 | $4,897.79 | $19,498.45 | |
Mass General Brigham
| Facility | AS | $891.25 | $891.25 | $891.25 |
United
| Facility | $1,862.09 | $4,265.80 | $9,772.37 |