| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.00 | $25.00 | $26.00 | |
AllWays Health Partners
| Facility | $95.00 | $100.00 | $941.10 | |
AllWays Health Partners
| Professional | $0.11 | $0.27 | $1.13 | |
Fallon Health
| Facility | $83.43 | $4,618.00 | $9,239.00 | |
Mass General Brigham
| Facility | $95.00 | $100.00 | $100.00 | |
Mass General Brigham
| Professional | $0.11 | $0.27 | $1.13 | |
United
| Professional | $0.11 | $0.27 | $1.13 |