| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.25 | $5.25 | $5.25 | |
Aetna
| Professional | $12.46 | $30.54 | $42.00 | |
AllWays Health Partners
| Facility | $100.00 | $100.00 | $100.00 | |
AllWays Health Partners
| Professional | $43.00 | $43.00 | $43.00 | |
Cigna
| Professional | $150.94 | $150.94 | $150.94 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 |