| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $420.82 | $420.82 | $420.82 | |
Aetna
| Professional | $420.82 | $443.71 | $1,151.72 | |
AllWays Health Partners
| Facility | $100.00 | $100.00 | $100.00 | |
Fallon Health
| Facility | $83.43 | $4,618.00 | $9,239.00 | |
Harvard Pilgrim
| Professional | $1,390.42 | $1,874.64 | $2,317.36 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 |