| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,621.81 | $1,621.81 | $1,778.28 | |
Aetna
| Professional | $1,621.81 | $1,621.81 | $2,511.89 | |
AllWays Health Partners
| Facility | $100.00 | $100.00 | $100.00 | |
Fallon Health
| Facility | $83.18 | $4,897.79 | $9,772.37 | |
Health New England
| Facility | $3,801.89 | $3,981.07 | $3,981.07 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 |