| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $350.00 | $350.00 | $350.00 | |
AllWays Health Partners
| Facility | $100.00 | $818.35 | $1,400.00 | |
Cigna
| Facility | $95.00 | $95.00 | $95.00 | |
Fallon Health
| Facility | $60.00 | $3,504.00 | $9,239.00 | |
Mass General Brigham
| Facility | $100.00 | $100.00 | $1,400.00 |