| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,659.59 | $1,905.46 | $3,162.28 | |
BCBS
| Professional | $1,318.26 | $1,905.46 | $4,897.79 | |
Lucent Health
| Facility | $23,442.29 | $23,442.29 | $23,442.29 | |
Lucent Health
| Professional | $24,547.09 | $37,153.52 | $37,153.52 | |
United
| Professional | $1,122.02 | $1,513.56 | $2,511.89 |