| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.09 | $2,079.00 | $3,625.00 | |
Aetna
| Professional | $45.89 | $127.09 | $152.51 | |
AllWays Health Partners
| Facility | $308.00 | $1,078.00 | $3,445.00 | |
Fallon Health
| Facility | $83.43 | $4,618.00 | $9,239.00 | |
Mass General Brigham
| Facility | $308.00 | $1,790.00 | $3,445.00 | |
United
| Facility | $627.00 | $1,818.00 | $2,733.00 |