| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.00 | $55.93 | $562.28 | |
AllWays Health Partners
| Professional | $35.72 | $70.67 | $3,919.21 | |
Fallon Health
| Facility | $91.72 | $91.72 | $91.72 | |
Fallon Health
| Professional | $105.25 | $128.41 | $176.37 | |
Harvard Pilgrim
| Professional | $78.95 | $140.74 | $233.17 | |
Mass General Brigham
| Professional | $35.72 | $70.67 | $3,919.21 | |
United
| Professional | $35.72 | $70.67 | $230.48 |