| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.63 | $146.22 | $178.10 | |
AllWays Health Partners
| Facility | $202.07 | $228.06 | $342.09 | |
AllWays Health Partners
| Professional | $90.17 | $150.53 | $1,093.50 | |
Cigna
| Professional | $86.76 | $86.76 | $96.03 | |
Harvard Pilgrim
| Professional | $190.45 | $190.45 | $190.45 | |
Mass General Brigham
| Professional | $90.17 | $116.51 | $1,093.50 | |
United
| Professional | $90.17 | $116.51 | $228.06 |