| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.09 | $74.09 | $74.09 | |
Aetna
| Professional | $74.09 | $74.09 | $74.09 | |
AllWays Health Partners
| Facility | $80.00 | $80.00 | $100.00 | |
BCBS
| Professional | $165.75 | $172.69 | $172.69 | |
Cigna
| Facility | $526.69 | $526.69 | $526.69 | |
Cigna
| Professional | $447.69 | $526.69 | $526.69 | |
Mass General Brigham
| Facility | $80.00 | $80.00 | $100.00 |