| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.80 | $5.80 | $2,952.72 | |
Aetna
| Professional | $5.81 | $5.81 | $247.85 | |
Anthem BCBS
| Professional | $72.30 | $85.65 | $85.65 | |
Harvard Pilgrim
| Professional | $1,247.68 | $2,306.71 | $2,943.34 | |
Well Sense
| Professional | $2,750.00 | $3,440.00 | $7,965.00 |