| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.00 | $6.00 | $6.00 | |
Aetna
| Professional | $6.00 | $6.00 | $6.00 | |
AllWays Health Partners
| Facility | $100.00 | $100.00 | $100.00 | |
AllWays Health Partners
| Professional | $21.11 | $21.11 | $21.11 | |
Cigna
| Professional | $5.65 | $5.65 | $13.99 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 | |
Mass General Brigham
| Professional | $21.11 | $21.11 | $21.11 |