| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.00 | $173.00 | $173.00 | |
Aetna
| Professional | $173.00 | $173.00 | $173.00 | |
AllWays Health Partners
| Facility | $90.00 | $100.00 | $818.35 | |
AllWays Health Partners
| Professional | $90.00 | $90.00 | $90.00 | |
Cigna
| Facility | $263.02 | $263.02 | $263.02 | |
Cigna
| Professional | $192.01 | $221.69 | $263.02 | |
Fallon Health
| Facility | $83.43 | $4,618.00 | $9,239.00 | |
Health New England
| Professional | $164.73 | $164.73 | $164.73 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $161.19 |