| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $416.00 | $416.00 | $416.00 | |
Anthem BCBS
| Professional | $31.94 | $31.94 | $31.94 | |
Harvard Pilgrim
| Professional | $81.53 | $81.53 | $81.53 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |