| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.11 | $3,235.94 | $8,511.38 | |
AllWays Health Partners
| Facility | $2,511.89 | $12,882.50 | $16,218.10 | |
AllWays Health Partners
| Facility | AS | $1,621.81 | $1,621.81 | $1,621.81 |
Fallon Health
| Facility | $389.05 | $389.05 | $389.05 | |
Harvard Pilgrim
| Facility | $2,511.89 | $6,165.95 | $13,803.84 | |
Mass General Brigham
| Facility | $2,511.89 | $12,882.50 | $16,218.10 | |
Mass General Brigham
| Facility | AS | $1,621.81 | $1,621.81 | $1,621.81 |
United
| Facility | $2,511.89 | $8,128.31 | $13,803.84 |