| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $64.57 | $64.57 | |
Aetna
| Professional | $64.57 | $64.57 | $66.07 | |
AllWays Health Partners
| Facility | $154.88 | $154.88 | $154.88 | |
AllWays Health Partners
| Professional | $218.78 | $218.78 | $218.78 | |
Mass General Brigham
| Facility | $154.88 | $154.88 | $154.88 | |
Mass General Brigham
| Professional | $218.78 | $218.78 | $218.78 | |
United
| Facility | $562.34 | $562.34 | $562.34 |