| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,691.53 | $3,715.35 | $5,623.41 | |
AllWays Health Partners
| Facility | $56.23 | $2,754.23 | $43,651.58 | |
AllWays Health Partners
| Facility | 62 | $117,489.76 | $117,489.76 | $117,489.76 |
Fallon Health
| Facility | $302.00 | $6,456.54 | $9,772.37 | |
Harvard Pilgrim
| Facility | $295.12 | $2,454.71 | $4,677.35 | |
Mass General Brigham
| Facility | $56.23 | $2,754.23 | $43,651.58 | |
Mass General Brigham
| Facility | 62 | $117,489.76 | $117,489.76 | $117,489.76 |
United
| Facility | $794.33 | $2,754.23 | $4,677.35 |