| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.60 | $93.66 | $125.11 | |
AllWays Health Partners
| Facility | $134.19 | $151.44 | $227.18 | |
AllWays Health Partners
| Professional | $59.93 | $103.63 | $880.52 | |
Cigna
| Professional | $57.66 | $57.66 | $63.82 | |
Harvard Pilgrim
| Professional | $126.46 | $126.46 | $126.46 | |
Mass General Brigham
| Professional | $59.93 | $77.37 | $880.52 | |
United
| Professional | $59.93 | $77.37 | $174.66 |