| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AllWays Health Partners
| Facility | QK | $112.20 | $112.20 | $112.20 |
AllWays Health Partners
| Facility | QX | $112.20 | $112.20 | $112.20 |
AllWays Health Partners
| Facility | QY | $112.20 | $112.20 | $112.20 |
Mass General Brigham
| Facility | QK | $112.20 | $112.20 | $112.20 |
Mass General Brigham
| Facility | QX | $112.20 | $112.20 | $112.20 |
Mass General Brigham
| Facility | QY | $112.20 | $112.20 | $112.20 |