| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $402.00 | $855.91 | $1,302.09 | |
AllWays Health Partners
| Facility | $449.00 | $489.00 | $941.10 | |
Cigna
| Facility | $125.00 | $1,268.94 | $5,775.39 | |
Fallon Health
| Facility | $60.00 | $3,504.00 | $9,239.00 |