| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,691.53 | $5,128.61 | $9,332.54 | |
AllWays Health Partners
| Facility | $56.23 | $4,897.79 | $13,803.84 | |
AllWays Health Partners
| Facility | AS | $1,380.38 | $1,380.38 | $1,380.38 |
Fallon Health
| Facility | $707.95 | $1,995.26 | $7,079.46 | |
Harvard Pilgrim
| Facility | $2,511.89 | $6,165.95 | $13,182.57 | |
Health New England
| Facility | $4,677.35 | $4,677.35 | $5,370.32 | |
Mass General Brigham
| Facility | $56.23 | $5,011.87 | $13,803.84 | |
Mass General Brigham
| Facility | AS | $1,380.38 | $1,380.38 | $1,380.38 |
United
| Facility | $2,511.89 | $6,309.57 | $13,803.84 |