| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.78 | $16.78 | $31.75 | |
Aetna
| Professional | $16.63 | $25.03 | $44.09 | |
AllWays Health Partners
| Facility | $41.32 | $126.67 | $175.22 | |
AllWays Health Partners
| Professional | $19.87 | $47.56 | $251.37 | |
Cigna
| Facility | $114.98 | $223.03 | $409.03 | |
Cigna
| Professional | $24.00 | $49.46 | $114.11 | |
Fallon Health
| Facility | $20.62 | $53.00 | $6,679.00 | |
Fallon Health
| Professional | $24.64 | $44.18 | $72.38 | |
Harvard Pilgrim
| Professional | $24.53 | $52.64 | $117.35 | |
Mass General Brigham
| Facility | $175.22 | $175.22 | $175.22 | |
Mass General Brigham
| Professional | $32.96 | $69.67 | $251.37 | |
United
| Professional | $32.93 | $51.02 | $115.62 |