| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $167.23 | $167.23 | $167.23 | |
Aetna
| Professional | $118.61 | $167.23 | $824.25 | |
AllWays Health Partners
| Facility | $100.00 | $100.00 | $941.10 | |
Cigna
| Professional | $14.23 | $14.23 | $239.64 | |
Fallon Health
| Facility | $83.43 | $4,618.00 | $9,239.00 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 |