| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $331.13 | $331.13 | |
AllWays Health Partners
| Facility | $2,089.30 | $2,089.30 | $2,089.30 | |
Fallon Health
| Facility | $309.03 | $309.03 | $371.54 | |
Mass General Brigham
| Facility | $2,089.30 | $2,089.30 | $2,089.30 |