| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.70 | $48.98 | $67.61 | |
AllWays Health Partners
| Facility | $218.78 | $218.78 | $218.78 | |
AllWays Health Partners
| Professional | $54.95 | $134.90 | $229.09 | |
Fallon Health
| Professional | $42.66 | $42.66 | $50.12 | |
Harvard Pilgrim
| Professional | $74.13 | $131.83 | $186.21 | |
Mass General Brigham
| Facility | $218.78 | $218.78 | $218.78 | |
Mass General Brigham
| Professional | $54.95 | $134.90 | $229.09 |