| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.74 | $146.74 | $146.74 | |
Aetna
| Professional | $146.74 | $146.74 | $192.67 | |
AllWays Health Partners
| Facility | $100.00 | $252.45 | $290.26 | |
AllWays Health Partners
| Professional | $422.40 | $422.40 | $422.40 | |
Fallon Health
| Facility | $83.43 | $3,472.00 | $9,239.00 | |
Harvard Pilgrim
| Professional | $127.41 | $225.47 | $225.47 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 | |
Mass General Brigham
| Professional | $422.40 | $422.40 | $422.40 |