| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.95 | $54.95 | $54.95 | |
AllWays Health Partners
| Facility | $41.69 | $41.69 | $165.96 | |
AllWays Health Partners
| Professional | $17.38 | $41.69 | $51.29 | |
Mass General Brigham
| Facility | $41.69 | $41.69 | $165.96 | |
Mass General Brigham
| Professional | $17.38 | $41.69 | $51.29 | |
United
| Professional | $24.55 | $29.51 | $29.51 |