| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AllWays Health Partners
| Facility | $90.00 | $90.00 | $90.00 | |
AllWays Health Partners
| Professional | $119.81 | $364.11 | $364.11 | |
Cigna
| Professional | $39.90 | $113.77 | $368.59 | |
Fallon Health
| Professional | $140.85 | $140.85 | $140.85 | |
Mass General Brigham
| Facility | $90.00 | $90.00 | $90.00 | |
Mass General Brigham
| Professional | $119.81 | $364.11 | $364.11 |