| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AllWays Health Partners
| Facility | $705.99 | $705.99 | $705.99 | |
AllWays Health Partners
| Professional | $1,611.85 | $1,611.85 | $1,611.85 | |
Cigna
| Professional | $489.51 | $489.51 | $615.52 | |
Mass General Brigham
| Facility | $705.99 | $705.99 | $705.99 | |
Mass General Brigham
| Professional | $1,611.85 | $1,611.85 | $1,611.85 |