| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,691.53 | $3,981.07 | $6,025.60 | |
AllWays Health Partners
| Facility | $1,230.27 | $7,413.10 | $50,118.72 | |
Fallon Health
| Facility | $446.68 | $1,819.70 | $8,511.38 | |
Harvard Pilgrim
| Facility | $2,691.53 | $6,918.31 | $20,417.38 | |
Health New England
| Facility | $3,630.78 | $3,630.78 | $3,630.78 | |
Mass General Brigham
| Facility | $1,230.27 | $10,471.29 | $50,118.72 | |
United
| Facility | $2,691.53 | $7,244.36 | $32,359.37 |