| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $556.23 | $695.29 | $2,024.68 | |
Aetna
| Professional | $556.23 | $556.23 | $630.39 | |
BCBS
| Professional | $385.65 | $978.96 | $1,461.03 | |
Lucent Health
| Facility | $1,290.45 | $3,522.79 | $3,522.79 | |
Lucent Health
| Professional | $3,693.37 | $3,693.37 | $5,562.30 | |
United
| Professional | $311.49 | $444.98 | $741.64 |