| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $956.74 | $956.74 | $956.74 | |
Aetna
| Professional | $488.55 | $956.74 | $1,677.41 | |
AllWays Health Partners
| Facility | $853.48 | $1,287.90 | $2,496.71 | |
AllWays Health Partners
| Professional | $462.00 | $1,223.08 | $3,985.81 | |
Harvard Pilgrim
| Professional | $1,119.50 | $2,108.46 | $2,485.40 | |
Mass General Brigham
| Facility | $1,287.90 | $1,287.90 | $3,299.61 | |
Mass General Brigham
| Professional | $3,985.81 | $3,985.81 | $3,985.81 |