| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.64 | $3.64 | $3.64 | |
Aetna
| Professional | $3.20 | $3.20 | $4.00 | |
AllWays Health Partners
| Facility | $100.00 | $100.00 | $100.00 | |
AllWays Health Partners
| Professional | $9.00 | $9.00 | $9.00 | |
Cigna
| Professional | $7.60 | $13.93 | $34.36 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 | |
Mass General Brigham
| Professional | $9.00 | $9.00 | $9.00 |