| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.19 | $3,388.44 | $7,762.47 | |
AllWays Health Partners
| Facility | $56.23 | $4,265.80 | $8,709.64 | |
AllWays Health Partners
| Facility | AS | $794.33 | $794.33 | $794.33 |
Fallon Health
| Facility | $302.00 | $851.14 | $8,511.38 | |
Harvard Pilgrim
| Facility | $2,137.96 | $5,248.07 | $11,220.18 | |
Mass General Brigham
| Facility | $56.23 | $4,570.88 | $8,709.64 | |
Mass General Brigham
| Facility | AS | $794.33 | $794.33 | $794.33 |
United
| Facility | $2,041.74 | $5,248.07 | $10,471.29 |