| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.55 | $190.55 | $190.55 | |
AllWays Health Partners
| Facility | $524.81 | $524.81 | $524.81 | |
Fallon Health
| Facility | $83.18 | $4,897.79 | $9,772.37 | |
Harvard Pilgrim
| Professional | $104.71 | $104.71 | $104.71 | |
Mass General Brigham
| Facility | $524.81 | $524.81 | $524.81 | |
United
| Professional | $104.71 | $104.71 | $104.71 |