| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.00 | $15.00 | $15.00 | |
Aetna
| Professional | $15.00 | $15.00 | $15.00 | |
AllWays Health Partners
| Facility | $100.00 | $100.00 | $100.00 | |
AllWays Health Partners
| Professional | $18.00 | $18.00 | $18.00 | |
Cigna
| Professional | $1.68 | $1.68 | $1.68 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 | |
Mass General Brigham
| Professional | $18.00 | $18.00 | $18.00 |