| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.67 | $29.04 | $30.67 | |
AllWays Health Partners
| Facility | $885.11 | $885.11 | $885.11 | |
AllWays Health Partners
| Professional | $25.20 | $56.63 | $283.32 | |
Fallon Health
| Professional | $27.54 | $27.54 | $32.40 | |
Harvard Pilgrim
| Professional | $33.96 | $63.68 | $84.58 | |
Mass General Brigham
| Facility | $885.11 | $885.11 | $885.11 | |
Mass General Brigham
| Professional | $283.32 | $283.32 | $283.32 |