| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $19.95 | $19.95 | |
Aetna
| Professional | $19.95 | $33.88 | $41.69 | |
AllWays Health Partners
| Facility | $954.99 | $954.99 | $954.99 | |
Cigna
| Professional | $2.04 | $2.04 | $213.80 | |
Fallon Health
| Facility | $83.18 | $4,897.79 | $9,772.37 | |
Mass General Brigham
| Facility | $954.99 | $954.99 | $954.99 |