| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.07 | $18.07 | $18.07 | |
Aetna
| Professional | $18.07 | $18.07 | $18.07 | |
AllWays Health Partners
| Facility | $100.00 | $100.00 | $100.00 | |
Fallon Health
| Facility | $60.00 | $3,504.00 | $9,239.00 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 |