| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.36 | $36.36 | $502.00 | |
AllWays Health Partners
| Facility | $2,262.09 | $2,262.09 | $2,262.09 | |
AllWays Health Partners
| Professional | $49.24 | $103.04 | $2,225.65 | |
Fallon Health
| Professional | $551.25 | $551.25 | $648.53 | |
Harvard Pilgrim
| Professional | $401.20 | $953.10 | $1,332.32 | |
Mass General Brigham
| Facility | $2,262.09 | $2,262.09 | $2,262.09 | |
Mass General Brigham
| Professional | $49.24 | $103.04 | $2,225.65 | |
United
| Professional | $49.24 | $99.26 | $762.26 |