| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $3,311.31 | $5,128.61 | |
AllWays Health Partners
| Facility | $1,995.26 | $10,232.93 | $52,480.75 | |
AllWays Health Partners
| Facility | 52 | $77,624.71 | $77,624.71 | $77,624.71 |
AllWays Health Partners
| Facility | AS | $9,549.93 | $9,549.93 | $9,549.93 |
Fallon Health
| Facility | $794.33 | $1,659.59 | $7,079.46 | |
Harvard Pilgrim
| Facility | $2,754.23 | $7,762.47 | $17,782.79 | |
Mass General Brigham
| Facility | $2,041.74 | $11,748.98 | $52,480.75 | |
Mass General Brigham
| Facility | 52 | $77,624.71 | $77,624.71 | $77,624.71 |
Mass General Brigham
| Facility | AS | $9,549.93 | $9,549.93 | $9,549.93 |
United
| Facility | $2,754.23 | $7,943.28 | $37,153.52 |