| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $29.32 | $29.32 | $109.50 |
AllWays Health Partners
| Facility | 26 | $37.29 | $79.90 | $190.00 |
Mass General Brigham
| Facility | 26 | $79.90 | $190.00 | $190.00 |
Rp Loclzj Tum Plnr 2+Area 1+D Img/1 Area Img>2+D
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $29.32 | $29.32 | $109.50 |
AllWays Health Partners
| Facility | 26 | $37.29 | $79.90 | $190.00 |
Mass General Brigham
| Facility | 26 | $79.90 | $190.00 | $190.00 |