| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.83 | $80.83 | $80.83 | |
Aetna
| Professional | $73.33 | $80.83 | $80.83 | |
AllWays Health Partners
| Facility | $100.00 | $100.00 | $200.43 | |
Cigna
| Facility | $30.72 | $30.72 | $30.72 | |
Cigna
| Professional | $26.11 | $30.72 | $1,086.56 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $200.43 |