| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.12 | $78.12 | $78.12 | |
Aetna
| Professional | $78.12 | $112.32 | $112.32 | |
AllWays Health Partners
| Facility | $100.00 | $100.00 | $100.00 | |
AllWays Health Partners
| Professional | $43.00 | $43.00 | $43.00 | |
Cigna
| Professional | $2.00 | $2.00 | $2.00 | |
Fallon Health
| Facility | $216.00 | $216.00 | $216.00 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 | |
Tufts
| Professional | $135.00 | $226.80 | $256.61 |