| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $535.01 | $535.01 | $535.01 | |
Aetna
| Professional | $535.01 | $535.01 | $642.01 | |
AllWays Health Partners
| Facility | $100.00 | $100.00 | $3,511.34 | |
Cigna
| Facility | $536.83 | $536.83 | $536.83 | |
Cigna
| Professional | $456.31 | $536.83 | $536.83 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $3,511.34 |