| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,691.53 | $4,570.88 | $8,511.38 | |
AllWays Health Partners
| Facility | $2,089.30 | $7,413.10 | $50,118.72 | |
AllWays Health Partners
| Facility | AS | $1,698.24 | $1,698.24 | $1,698.24 |
Fallon Health
| Facility | $575.44 | $1,778.28 | $7,079.46 | |
Harvard Pilgrim
| Facility | $2,570.40 | $6,918.31 | $15,488.17 | |
Mass General Brigham
| Facility | $2,089.30 | $8,317.64 | $50,118.72 | |
Mass General Brigham
| Facility | AS | $1,698.24 | $1,698.24 | $1,698.24 |
United
| Facility | $2,570.40 | $7,244.36 | $15,488.17 |