| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.29 | $104.77 | $149.97 | |
AllWays Health Partners
| Facility | $162.86 | $183.80 | $275.70 | |
AllWays Health Partners
| Professional | $70.42 | $132.22 | $872.01 | |
Cigna
| Professional | $67.76 | $67.76 | $75.00 | |
Harvard Pilgrim
| Professional | $153.47 | $153.47 | $153.47 | |
Mass General Brigham
| Professional | $70.42 | $93.90 | $872.01 | |
United
| Professional | $70.42 | $93.90 | $183.80 |