| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $700.00 | $700.00 | $700.00 | |
Aetna
| Professional | $700.00 | $700.00 | $700.00 | |
AllWays Health Partners
| Facility | $100.00 | $169.53 | $194.92 | |
BCBS
| Facility | $47.38 | $65.38 | $118.45 | |
Fallon Health
| Facility | $83.43 | $4,618.00 | $9,239.00 | |
Harvard Pilgrim
| Professional | $41.43 | $43.50 | $73.08 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 |