| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AllWays Health Partners
| Facility | $100.00 | $132.24 | $132.24 | |
AllWays Health Partners
| Professional | $200.64 | $200.64 | $200.64 | |
Cigna
| Professional | $79.26 | $79.26 | $94.96 | |
Mass General Brigham
| Facility | $100.00 | $132.24 | $132.24 | |
Mass General Brigham
| Professional | $200.64 | $200.64 | $200.64 |