| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $3,311.31 | $5,623.41 | |
AllWays Health Partners
| Facility | $1,230.27 | $7,943.28 | $34,673.69 | |
AllWays Health Partners
| Facility | 53 | $8,709.64 | $8,709.64 | $8,709.64 |
Fallon Health
| Facility | $380.19 | $912.01 | $7,079.46 | |
Harvard Pilgrim
| Facility | $2,754.23 | $7,762.47 | $33,884.42 | |
Mass General Brigham
| Facility | $1,230.27 | $10,232.93 | $34,673.69 | |
Mass General Brigham
| Facility | 53 | $8,709.64 | $8,709.64 | $8,709.64 |
United
| Facility | $2,754.23 | $7,943.28 | $33,884.42 |