| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.13 | $118.13 | $118.13 | |
Aetna
| Professional | $118.13 | $118.13 | $130.79 | |
AllWays Health Partners
| Facility | $76.00 | $100.00 | $100.00 | |
Cigna
| Professional | $13.17 | $13.17 | $59.17 | |
Mass General Brigham
| Facility | $76.00 | $100.00 | $100.00 |