| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $3,388.44 | $5,623.41 | |
AllWays Health Partners
| Facility | $56.23 | $1,862.09 | $4,168.69 | |
AllWays Health Partners
| Facility | AS | $2,630.27 | $2,630.27 | $2,630.27 |
Fallon Health
| Facility | $302.00 | $1,348.96 | $8,511.38 | |
Harvard Pilgrim
| Facility | $630.96 | $2,041.74 | $3,467.37 | |
Mass General Brigham
| Facility | $56.23 | $1,862.09 | $4,168.69 | |
Mass General Brigham
| Facility | AS | $2,630.27 | $2,630.27 | $2,630.27 |
United
| Facility | $630.96 | $1,862.09 | $2,818.38 |