| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $64.57 | $64.57 | |
Aetna
| Professional | $64.57 | $64.57 | $77.62 | |
AllWays Health Partners
| Facility | $489.78 | $489.78 | $489.78 | |
AllWays Health Partners
| Professional | $42.66 | $42.66 | $275.42 | |
Cigna
| Professional | $27.54 | $27.54 | $27.54 | |
Mass General Brigham
| Facility | $489.78 | $489.78 | $489.78 | |
Mass General Brigham
| Professional | $42.66 | $42.66 | $275.42 |