| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.53 | $213.29 | $264.91 | |
AllWays Health Partners
| Facility | $308.83 | $348.56 | $522.84 | |
AllWays Health Partners
| Professional | $133.55 | $230.15 | $1,689.04 | |
Cigna
| Professional | $128.49 | $128.49 | $142.24 | |
Harvard Pilgrim
| Professional | $291.06 | $291.06 | $291.06 | |
Mass General Brigham
| Professional | $133.55 | $178.07 | $1,689.04 | |
United
| Professional | $133.55 | $190.79 | $291.06 |