| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AllWays Health Partners
| Facility | $5,623.41 | $5,623.41 | $5,623.41 | |
AllWays Health Partners
| Professional | $3,162.28 | $3,162.28 | $3,162.28 | |
Mass General Brigham
| Facility | $5,623.41 | $5,623.41 | $5,623.41 | |
Mass General Brigham
| Professional | $3,162.28 | $3,162.28 | $3,162.28 |