| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AllWays Health Partners
| Facility | $177.83 | $177.83 | $177.83 | |
AllWays Health Partners
| Professional | $208.93 | $208.93 | $208.93 | |
Cigna
| Professional | $72.44 | $117.49 | $208.93 | |
Fallon Health
| Professional | $162.18 | $162.18 | $194.98 | |
Mass General Brigham
| Facility | $177.83 | $177.83 | $177.83 | |
Mass General Brigham
| Professional | $208.93 | $208.93 | $208.93 |