| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.76 | $64.86 | $67.05 | |
Anthem BCBS
| Professional | $54.00 | $58.93 | $84.01 | |
Harvard Pilgrim
| Professional | $74.70 | $108.32 | $230.56 |
Diagnostic Casts
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.76 | $64.86 | $67.05 | |
Anthem BCBS
| Professional | $54.00 | $58.93 | $84.01 | |
Harvard Pilgrim
| Professional | $74.70 | $108.32 | $230.56 |