| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $63.10 | $67.61 | |
Anthem BCBS
| Professional | $53.70 | $58.88 | $79.43 | |
Harvard Pilgrim
| Professional | $74.13 | $104.71 | $194.98 |
Diagnostic Casts
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $63.10 | $67.61 | |
Anthem BCBS
| Professional | $53.70 | $58.88 | $79.43 | |
Harvard Pilgrim
| Professional | $74.13 | $104.71 | $194.98 |