| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.02 | $54.89 | $57.45 | |
AllWays Health Partners
| Facility | $42.00 | $42.00 | $63.00 | |
AllWays Health Partners
| Professional | $42.00 | $42.00 | $44.10 | |
Cigna
| Facility | $39.00 | $39.00 | $39.00 | |
Cigna
| Professional | $14.25 | $14.25 | $39.00 | |
Health New England
| Facility | $180.00 | $180.00 | $250.00 |