| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.00 | $8.00 | $8.00 | |
Aetna
| Professional | $8.00 | $8.00 | $9.60 | |
AllWays Health Partners
| Facility | $89.21 | $126.95 | $350.00 | |
AllWays Health Partners
| Professional | $89.21 | $89.21 | $101.07 | |
Cigna
| Professional | $102.75 | $128.44 | $130.13 | |
Mass General Brigham
| Facility | $126.95 | $126.95 | $350.00 |