| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $970.00 | $970.00 | $1,134.00 | |
AllWays Health Partners
| Facility | $818.35 | $818.35 | $941.10 | |
Cigna
| Facility | $95.00 | $95.00 | $95.00 | |
Fallon Health
| Facility | $83.43 | $218.97 | $5,733.00 |