| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $20.00 | $20.00 | |
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
AllWays Health Partners
| Facility | $60.00 | $100.00 | $198.78 | |
AllWays Health Partners
| Professional | $60.00 | $60.00 | $63.00 | |
Cigna
| Professional | $18.70 | $18.70 | $62.76 | |
Fallon Health
| Facility | $83.43 | $4,618.00 | $9,239.00 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 |