| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.11 | $99.11 | $99.11 | |
Aetna
| Professional | $99.11 | $99.11 | $122.42 | |
AllWays Health Partners
| Facility | $76.00 | $100.00 | $100.00 | |
Cigna
| Professional | $9.85 | $9.85 | $9.85 | |
Fallon Health
| Facility | $176.45 | $176.45 | $176.45 | |
Mass General Brigham
| Facility | $76.00 | $100.00 | $100.00 |