| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $3,388.44 | $5,623.41 | |
AllWays Health Partners
| Facility | $56.23 | $3,388.44 | $7,244.36 | |
AllWays Health Partners
| Facility | AS | $2,041.74 | $2,041.74 | $2,041.74 |
Fallon Health
| Facility | $302.00 | $2,398.83 | $8,511.38 | |
Harvard Pilgrim
| Facility | $1,000.00 | $3,311.31 | $5,888.44 | |
Mass General Brigham
| Facility | $56.23 | $3,388.44 | $7,244.36 | |
Mass General Brigham
| Facility | AS | $2,041.74 | $2,041.74 | $2,041.74 |
United
| Facility | $1,000.00 | $2,884.03 | $4,677.35 |