| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.00 | $80.00 | $80.00 | |
Aetna
| Professional | $80.00 | $80.00 | $97.00 | |
AllWays Health Partners
| Facility | $100.00 | $100.00 | $941.10 | |
Cigna
| Facility | $94.60 | $94.60 | $94.60 | |
Cigna
| Professional | $25.46 | $94.60 | $155.94 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $100.00 |