| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $4,073.80 | $7,585.78 | |
AllWays Health Partners
| Facility | $2,089.30 | $4,677.35 | $12,882.50 | |
AllWays Health Partners
| Facility | AS | $630.96 | $630.96 | $630.96 |
Fallon Health
| Facility | $933.25 | $1,548.82 | $8,511.38 | |
Harvard Pilgrim
| Facility | $2,570.40 | $6,918.31 | $15,488.17 | |
Mass General Brigham
| Facility | $2,570.40 | $4,677.35 | $12,882.50 | |
Mass General Brigham
| Facility | AS | $630.96 | $630.96 | $630.96 |
United
| Facility | $2,570.40 | $7,244.36 | $16,595.87 |