| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.20 | $137.00 | $137.00 | |
AllWays Health Partners
| Facility | $86.15 | $90.35 | $941.10 | |
BCBS
| Facility | $26.42 | $31.14 | $40.38 | |
Cigna
| Facility | $114.90 | $114.90 | $147.01 | |
Fallon Health
| Facility | $55.00 | $3,472.00 | $9,239.00 |