| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.84 | $328.05 | $434.68 | |
Aetna
| Professional | $93.78 | $99.84 | $115.53 | |
AllWays Health Partners
| Facility | $248.18 | $677.49 | $677.49 | |
AllWays Health Partners
| Professional | $85.58 | $85.58 | $713.15 | |
Cigna
| Facility | $91.77 | $103.06 | $324.49 | |
Cigna
| Professional | $173.80 | $173.80 | $208.23 | |
Harvard Pilgrim
| Professional | $142.63 | $142.63 | $441.71 | |
Mass General Brigham
| Facility | $248.18 | $677.49 | $677.49 | |
Mass General Brigham
| Professional | $85.58 | $85.58 | $713.15 | |
United
| Professional | $85.58 | $85.58 | $254.75 |