| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.64 | $282.30 | $394.68 | |
Aetna
| Professional | $25.00 | $175.00 | $652.00 | |
AllWays Health Partners
| Facility | $0.03 | $355.54 | $818.35 | |
Cigna
| Facility | $67.06 | $153.93 | $410.33 | |
Fallon Health
| Facility | $83.43 | $4,618.00 | $9,239.00 |