| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.22 | $104.22 | $104.22 | |
Aetna
| Professional | $104.22 | $104.22 | $304.11 | |
AllWays Health Partners
| Facility | $422.60 | $422.60 | $818.35 | |
Fallon Health
| Facility | $83.43 | $4,618.00 | $9,239.00 | |
Harvard Pilgrim
| Professional | $162.84 | $162.84 | $261.92 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 |