| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.43 | $162.43 | $162.43 | |
Aetna
| Professional | $114.38 | $162.43 | $199.23 | |
AllWays Health Partners
| Facility | $267.85 | $369.63 | $369.63 | |
AllWays Health Partners
| Professional | $433.05 | $433.05 | $433.05 | |
Cigna
| Professional | $174.98 | $174.98 | $220.03 | |
Mass General Brigham
| Facility | $267.85 | $369.63 | $369.63 | |
Mass General Brigham
| Professional | $433.05 | $433.05 | $433.05 |