| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AllWays Health Partners
| Facility | $53.70 | $616.60 | $2,570.40 | |
Harvard Pilgrim
| Facility | $1,698.24 | $1,698.24 | $2,570.40 | |
Mass General Brigham
| Facility | $53.70 | $616.60 | $2,570.40 | |
United
| Facility | $1,698.24 | $1,698.24 | $2,570.40 |