| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.00 | $2,249.00 | $3,693.00 | |
Aetna
| Professional | $170.80 | $170.80 | $2,083.19 | |
AllWays Health Partners
| Facility | $55.00 | $6,078.00 | $14,018.00 | |
AllWays Health Partners
| Professional | $0.02 | $0.02 | $0.02 | |
Fallon Health
| Facility | $83.43 | $3,504.00 | $9,239.00 | |
Mass General Brigham
| Facility | $55.00 | $5,508.58 | $14,018.00 | |
United
| Facility | $2,386.00 | $6,883.00 | $15,421.00 |