| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,485.00 | $2,663.12 | $3,693.00 | |
Aetna
| Professional | $27.58 | $35.18 | $35.18 | |
AllWays Health Partners
| Facility | $502.00 | $1,818.00 | $3,445.00 | |
Fallon Health
| Facility | $83.43 | $4,618.00 | $9,239.00 | |
Mass General Brigham
| Facility | $502.00 | $1,818.00 | $3,445.00 | |
United
| Facility | $627.00 | $1,818.00 | $2,733.00 |