| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.00 | $10.00 | $10.00 | |
Aetna
| Professional | $10.00 | $10.00 | $10.00 | |
AllWays Health Partners
| Facility | $50.12 | $89.13 | $89.13 | |
Cigna
| Professional | $53.70 | $53.70 | $66.07 | |
Mass General Brigham
| Facility | $50.12 | $89.13 | $89.13 |