| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.55 | $61.55 | $61.55 | |
Aetna
| Professional | $61.55 | $64.00 | $275.66 | |
AllWays Health Partners
| Facility | $189.29 | $189.29 | $818.35 | |
Fallon Health
| Facility | $83.43 | $4,618.00 | $9,239.00 | |
Harvard Pilgrim
| Professional | $96.56 | $96.56 | $137.81 | |
Health New England
| Facility | $3,291.84 | $3,291.84 | $3,291.84 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 |