| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AllWays Health Partners
| Facility | $473.49 | $473.49 | $473.49 | |
AllWays Health Partners
| Professional | $1,322.00 | $1,322.00 | $1,322.00 | |
Cigna
| Professional | $721.46 | $913.60 | $1,203.19 | |
Mass General Brigham
| Facility | $473.49 | $473.49 | $473.49 | |
Mass General Brigham
| Professional | $1,322.00 | $1,322.00 | $1,322.00 |