| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $3,388.44 | $5,623.41 | |
AllWays Health Partners
| Facility | $56.23 | $3,890.45 | $16,218.10 | |
AllWays Health Partners
| Facility | AS | $363.08 | $363.08 | $363.08 |
Fallon Health
| Facility | $302.00 | $912.01 | $8,511.38 | |
Harvard Pilgrim
| Facility | $2,570.40 | $6,918.31 | $15,488.17 | |
Mass General Brigham
| Facility | $56.23 | $3,890.45 | $16,218.10 | |
Mass General Brigham
| Facility | AS | $363.08 | $363.08 | $363.08 |
United
| Facility | $2,570.40 | $6,165.95 | $14,125.38 |