| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.72 | $206.72 | $280.52 | |
Aetna
| Professional | $206.72 | $206.72 | $206.72 | |
AllWays Health Partners
| Facility | $100.00 | $818.35 | $941.10 | |
Fallon Health
| Facility | $83.43 | $4,618.00 | $9,239.00 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 |