| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.79 | $40.79 | $40.79 | |
AllWays Health Partners
| Facility | $100.00 | $100.00 | $100.00 | |
AllWays Health Partners
| Professional | $162.00 | $162.00 | $162.00 | |
Cigna
| Professional | $10.00 | $90.00 | $145.05 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 | |
Mass General Brigham
| Professional | $162.00 | $162.00 | $162.00 |