| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $677.60 | $677.60 | $685.18 | |
Aetna
| Professional | $540.96 | $677.60 | $876.05 | |
AllWays Health Partners
| Facility | $100.00 | $914.50 | $1,051.47 | |
AllWays Health Partners
| Professional | $1,274.40 | $1,274.40 | $1,274.40 | |
Fallon Health
| Facility | $83.43 | $3,472.00 | $9,239.00 | |
Harvard Pilgrim
| Professional | $203.35 | $224.51 | $235.74 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 | |
Mass General Brigham
| Professional | $1,274.40 | $1,274.40 | $1,274.40 |