| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $57.54 | $75.86 | |
AllWays Health Partners
| Professional | $162.18 | $162.18 | $162.18 | |
Cigna
| Professional | $89.13 | $89.13 | $89.13 | |
Mass General Brigham
| Professional | $162.18 | $162.18 | $162.18 | |
United
| Professional | $48.98 | $53.70 | $63.10 |