| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.80 | $78.19 | $95.89 | |
AllWays Health Partners
| Facility | $0.02 | $0.03 | $941.10 | |
Cigna
| Facility | $30.28 | $30.28 | $30.28 | |
Fallon Health
| Facility | $83.43 | $4,618.00 | $9,239.00 |