| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $548.86 | $548.86 | $548.86 | |
AllWays Health Partners
| Facility | $100.00 | $100.00 | $100.00 | |
AllWays Health Partners
| Professional | $4,416.00 | $4,800.00 | $8,139.46 | |
Fallon Health
| Facility | $83.43 | $4,618.00 | $9,239.00 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 | |
Mass General Brigham
| Professional | $4,416.00 | $4,800.00 | $8,139.46 | |
United
| Professional | $4,492.80 | $4,800.00 | $7,939.39 |