| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.36 | $32.36 | $32.36 | |
AllWays Health Partners
| Facility | $19.95 | $52.48 | $104.71 | |
Fallon Health
| Facility | $83.18 | $4,897.79 | $9,772.37 | |
Mass General Brigham
| Facility | $19.95 | $52.48 | $104.71 | |
United
| Facility | $47.86 | $47.86 | $47.86 |