| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $32.36 | $43.65 | |
AllWays Health Partners
| Professional | $19.95 | $33.88 | $208.93 | |
Fallon Health
| Facility | $35.48 | $35.48 | $35.48 | |
Fallon Health
| Professional | $40.74 | $51.29 | $70.79 | |
Harvard Pilgrim
| Professional | $28.18 | $45.71 | $91.20 | |
Mass General Brigham
| Professional | $19.50 | $33.88 | $154.88 | |
United
| Professional | $19.95 | $33.88 | $89.13 |