| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.27 | $84.27 | $84.27 | |
Aetna
| Professional | $84.27 | $88.00 | $101.12 | |
AllWays Health Partners
| Facility | $210.68 | $210.68 | $818.35 | |
Fallon Health
| Facility | $83.43 | $4,618.00 | $9,239.00 | |
Harvard Pilgrim
| Professional | $107.86 | $107.86 | $110.45 | |
Health New England
| Facility | $23,408.64 | $23,408.64 | $24,140.16 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 |