| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.50 | $32.50 | $32.50 | |
Aetna
| Professional | $32.50 | $43.26 | $527.94 | |
AllWays Health Partners
| Facility | $270.00 | $270.00 | $270.00 | |
AllWays Health Partners
| Professional | $4,512.00 | $4,512.00 | $4,512.00 | |
Cigna
| Professional | $225.00 | $400.00 | $565.00 | |
Mass General Brigham
| Facility | $270.00 | $270.00 | $270.00 | |
Mass General Brigham
| Professional | $4,512.00 | $4,512.00 | $4,512.00 |