| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.91 | $65.91 | $65.91 | |
Aetna
| Professional | $65.91 | $65.91 | $79.09 | |
AllWays Health Partners
| Facility | $100.00 | $100.00 | $100.00 | |
AllWays Health Partners
| Professional | $216.66 | $216.66 | $216.66 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 | |
Mass General Brigham
| Professional | $216.66 | $216.66 | $216.66 |