| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $3,715.35 | $6,918.31 | |
AllWays Health Partners
| Facility | $1,479.11 | $5,248.07 | $12,589.25 | |
AllWays Health Partners
| Facility | AS | $1,258.93 | $1,258.93 | $1,258.93 |
Fallon Health
| Facility | $549.54 | $1,174.90 | $7,079.46 | |
Harvard Pilgrim
| Facility | $2,137.96 | $5,248.07 | $11,220.18 | |
Health New England
| Facility | $2,511.89 | $4,073.80 | $5,888.44 | |
Mass General Brigham
| Facility | $1,513.56 | $5,623.41 | $12,589.25 | |
Mass General Brigham
| Facility | AS | $1,258.93 | $1,258.93 | $1,258.93 |
United
| Facility | $2,041.74 | $5,248.07 | $12,022.64 |