| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 54 | $232.00 | $253.46 | $692.59 |
AllWays Health Partners
| Facility | 54 | $1,265.66 | $1,265.66 | $1,265.66 |
BCBS
| Facility | 54 | $296.86 | $381.47 | $629.34 |
Mass General Brigham
| Facility | 54 | $1,265.66 | $1,265.66 | $1,265.66 |