| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AllWays Health Partners
| Facility | $740.39 | $16,394.00 | $16,394.00 | |
AllWays Health Partners
| Professional | $3,635.00 | $3,635.00 | $3,635.00 | |
Cigna
| Professional | $318.69 | $318.69 | $400.73 | |
Mass General Brigham
| Facility | $740.39 | $16,394.00 | $16,394.00 | |
Mass General Brigham
| Professional | $3,635.00 | $3,635.00 | $3,635.00 |