| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.76 | $45.76 | $45.76 | |
Aetna
| Professional | $45.76 | $45.76 | $54.91 | |
AllWays Health Partners
| Facility | $803.04 | $803.04 | $941.10 | |
Fallon Health
| Facility | $83.43 | $4,618.00 | $9,239.00 | |
Harvard Pilgrim
| Professional | $95.07 | $564.50 | $564.50 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 |