| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.50 | $32.50 | $32.50 | |
Aetna
| Professional | $32.50 | $45.00 | $194.00 | |
AllWays Health Partners
| Facility | $90.00 | $90.00 | $90.00 | |
AllWays Health Partners
| Professional | $1,881.90 | $1,881.90 | $1,881.90 | |
Cigna
| Professional | $48.41 | $80.00 | $112.44 | |
Mass General Brigham
| Facility | $90.00 | $90.00 | $90.00 | |
Mass General Brigham
| Professional | $1,881.90 | $1,881.90 | $1,881.90 |