| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $323.59 | $446.68 | |
Aetna
| Professional | $93.33 | $114.82 | $134.90 | |
AllWays Health Partners
| Facility | $676.08 | $676.08 | $676.08 | |
AllWays Health Partners
| Professional | $85.11 | $85.11 | $707.95 | |
Cigna
| Facility | $100.00 | $112.20 | $229.09 | |
Cigna
| Professional | $173.78 | $173.78 | $208.93 | |
Harvard Pilgrim
| Professional | $141.25 | $141.25 | $309.03 | |
Mass General Brigham
| Facility | $676.08 | $676.08 | $676.08 | |
Mass General Brigham
| Professional | $85.11 | $85.11 | $707.95 | |
United
| Facility | $85.11 | $141.25 | $169.82 | |
United
| Professional | $85.11 | $141.25 | $295.12 |