| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.33 | $93.33 | $93.33 | |
Anthem BCBS
| Professional | $239.16 | $239.16 | $239.16 | |
Harvard Pilgrim
| Professional | $195.22 | $365.03 | $512.33 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |