| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.10 | $17.10 | $17.10 | |
Aetna
| Professional | $17.10 | $17.10 | $17.10 | |
AllWays Health Partners
| Facility | $100.00 | $127.11 | $146.13 | |
AllWays Health Partners
| Professional | $282.45 | $282.45 | $282.45 | |
Fallon Health
| Facility | $59.66 | $3,472.00 | $9,239.00 | |
Harvard Pilgrim
| Professional | $51.42 | $62.81 | $62.81 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 | |
Mass General Brigham
| Professional | $282.45 | $282.45 | $282.45 |