| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.87 | $110.87 | $110.87 | |
Aetna
| Professional | $110.87 | $237.75 | $447.24 | |
AllWays Health Partners
| Facility | $100.00 | $100.00 | $100.00 | |
AllWays Health Partners
| Professional | $43.00 | $43.00 | $43.00 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 |