| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.54 | $2,238.72 | $3,801.89 | |
AllWays Health Partners
| Facility | $501.19 | $2,238.72 | $5,011.87 | |
AllWays Health Partners
| Facility | 62 | $2,238.72 | $2,238.72 | $2,238.72 |
AllWays Health Partners
| Facility | AS | $354.81 | $354.81 | $354.81 |
Fallon Health
| Facility | $199.53 | $331.13 | $8,511.38 | |
Harvard Pilgrim
| Facility | $630.96 | $2,041.74 | $14,454.40 | |
Mass General Brigham
| Facility | $630.96 | $2,398.83 | $5,011.87 | |
Mass General Brigham
| Facility | 62 | $2,238.72 | $2,238.72 | $2,238.72 |
Mass General Brigham
| Facility | AS | $354.81 | $354.81 | $354.81 |
United
| Facility | $630.96 | $1,862.09 | $13,182.57 |