| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $20.00 | $20.00 | |
Aetna
| Professional | $14.82 | $20.00 | $34.54 | |
AllWays Health Partners
| Facility | $100.00 | $100.00 | $856.80 | |
AllWays Health Partners
| Professional | $4.47 | $6.71 | $11.06 | |
Cigna
| Professional | $4.38 | $4.38 | $11.72 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $856.80 | |
Mass General Brigham
| Professional | $4.47 | $6.71 | $11.06 | |
United
| Professional | $4.47 | $6.71 | $10.48 |