| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AllWays Health Partners
| Facility | $169.74 | $169.74 | $169.74 | |
AllWays Health Partners
| Professional | $330.05 | $356.22 | $356.22 | |
Cigna
| Professional | $90.54 | $94.70 | $113.46 | |
Mass General Brigham
| Facility | $169.74 | $169.74 | $169.74 | |
Mass General Brigham
| Professional | $330.05 | $356.22 | $356.22 | |
United
| Professional | $72.90 | $76.15 | $121.84 |