| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.56 | $85.56 | $103.16 | |
Aetna
| Professional | $85.56 | $103.15 | $192.88 | |
AllWays Health Partners
| Facility | $62.30 | $414.44 | $414.44 | |
AllWays Health Partners
| Professional | $76.94 | $148.11 | $251.26 | |
Cigna
| Professional | $125.13 | $171.05 | $213.82 | |
Fallon Health
| Facility | $101.87 | $101.87 | $101.87 | |
Fallon Health
| Professional | $56.28 | $101.93 | $139.00 | |
Harvard Pilgrim
| Professional | $94.31 | $103.63 | $125.75 | |
Mass General Brigham
| Facility | $414.44 | $414.44 | $414.44 | |
Mass General Brigham
| Professional | $101.38 | $134.25 | $260.38 | |
United
| Professional | $109.80 | $132.69 | $236.56 |