| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $184.38 | $184.38 | $184.38 | |
Aetna
| Professional | $184.38 | $184.38 | $221.26 | |
AllWays Health Partners
| Facility | $535.79 | $535.79 | $843.09 | |
Fallon Health
| Facility | $83.43 | $4,618.00 | $9,239.00 | |
Harvard Pilgrim
| Professional | $175.82 | $868.33 | $868.33 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 |