| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.61 | $109.61 | $109.61 | |
Aetna
| Professional | $11.16 | $109.61 | $1,608.93 | |
AllWays Health Partners
| Facility | $100.00 | $100.00 | $651.15 | |
Fallon Health
| Facility | $83.43 | $4,618.00 | $9,239.00 | |
Health New England
| Facility | $865.00 | $865.00 | $865.00 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $651.15 |