| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $297.00 | $297.00 | $365.00 | |
AllWays Health Partners
| Facility | $270.00 | $2,919.00 | $5,544.00 | |
Cigna
| Facility | $467.00 | $490.00 | $524.00 | |
Fallon Health
| Facility | $60.00 | $3,504.00 | $9,239.00 | |
Mass General Brigham
| Facility | $695.29 | $695.29 | $695.29 | |
United
| Facility | $695.29 | $695.29 | $695.29 |