| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.60 | $9.60 | $9.60 | |
AllWays Health Partners
| Facility | $100.00 | $100.00 | $100.00 | |
Fallon Health
| Facility | $83.43 | $4,618.00 | $9,239.00 | |
Harvard Pilgrim
| Professional | $4.69 | $4.69 | $6.75 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $6.31 | $11.91 | $17.73 |