| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $262.22 | $437.03 | $1,101.30 | |
Aetna
| Professional | $262.22 | $262.22 | $297.18 | |
BCBS
| Professional | $181.80 | $461.50 | $688.75 | |
Lucent Health
| Facility | $608.34 | $1,660.70 | $1,660.70 | |
Lucent Health
| Professional | $1,748.10 | $1,748.10 | $2,622.15 | |
United
| Professional | $146.84 | $209.77 | $349.62 |