| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $70.79 | $70.79 | |
Aetna
| Professional | $19.95 | $19.95 | $70.79 | |
AllWays Health Partners
| Professional | $524.81 | $524.81 | $524.81 | |
Cigna
| Professional | $181.97 | $181.97 | $295.12 | |
Harvard Pilgrim
| Professional | $234.42 | $234.42 | $234.42 | |
Mass General Brigham
| Professional | $234.42 | $524.81 | $524.81 | |
United
| Professional | $20.89 | $229.09 | $234.42 |