| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $3,388.44 | $5,623.41 | |
AllWays Health Partners
| Facility | $56.23 | $1,995.26 | $13,182.57 | |
AllWays Health Partners
| Facility | AS | $158.49 | $158.49 | $158.49 |
Fallon Health
| Facility | $177.83 | $346.74 | $7,079.46 | |
Harvard Pilgrim
| Facility | $2,818.38 | $8,709.64 | $30,199.52 | |
Mass General Brigham
| Facility | $56.23 | $2,238.72 | $14,454.40 | |
Mass General Brigham
| Facility | AS | $158.49 | $158.49 | $158.49 |
United
| Facility | $2,818.38 | $9,332.54 | $28,183.83 |