| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.00 | $25.00 | $25.00 | |
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
AllWays Health Partners
| Facility | $135.00 | $135.00 | $135.00 | |
Cigna
| Professional | $96.29 | $96.29 | $120.36 | |
Mass General Brigham
| Facility | $135.00 | $135.00 | $135.00 |