| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $100.00 | |
Aetna
| Professional | $100.00 | $100.00 | $100.00 | |
AllWays Health Partners
| Facility | $102.33 | $102.33 | $102.33 | |
Cigna
| Professional | $112.20 | $112.20 | $112.20 | |
Fallon Health
| Facility | $83.18 | $4,897.79 | $9,772.37 | |
Mass General Brigham
| Facility | $102.33 | $102.33 | $102.33 |