| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $532.50 | $665.63 | $1,938.30 | |
Aetna
| Professional | $532.50 | $532.50 | $603.50 | |
BCBS
| Professional | $369.20 | $937.20 | $1,398.70 | |
Lucent Health
| Facility | $1,235.40 | $3,372.50 | $3,372.50 | |
Lucent Health
| Professional | $3,535.80 | $3,535.80 | $5,325.00 | |
United
| Professional | $298.20 | $426.00 | $710.00 |