| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.23 | $5.23 | $5.23 | |
Aetna
| Professional | $5.23 | $5.23 | $78.50 | |
AllWays Health Partners
| Facility | $80.00 | $80.00 | $100.00 | |
Cigna
| Professional | $113.63 | $142.03 | $228.00 | |
Mass General Brigham
| Facility | $80.00 | $80.00 | $100.00 |