| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,348.96 | $2,884.03 | $5,128.61 | |
AllWays Health Partners
| Facility | $1,949.84 | $7,079.46 | $28,840.32 | |
AllWays Health Partners
| Facility | AS | $1,737.80 | $1,737.80 | $1,737.80 |
Fallon Health
| Facility | $501.19 | $1,905.46 | $7,079.46 | |
Harvard Pilgrim
| Facility | $2,511.89 | $6,165.95 | $13,182.57 | |
Mass General Brigham
| Facility | $2,238.72 | $7,079.46 | $28,840.32 | |
Mass General Brigham
| Facility | AS | $1,737.80 | $1,737.80 | $1,737.80 |
United
| Facility | $2,511.89 | $6,309.57 | $15,848.93 |