| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $204.17 | $295.12 | |
Aetna
| Professional | $204.17 | $204.17 | $204.17 | |
AllWays Health Partners
| Facility | $100.00 | $100.00 | $100.00 | |
Fallon Health
| Facility | $83.18 | $4,897.79 | $9,772.37 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 |