| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $350.00 | $350.00 | $350.00 | |
Anthem BCBS
| Professional | $26.28 | $26.28 | $26.28 | |
Harvard Pilgrim
| Professional | $67.08 | $67.08 | $67.08 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |