| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.04 | $562.34 | $660.69 | |
Aetna
| Professional | $457.09 | $549.54 | $812.83 | |
Lucent Health
| Facility | $3,311.31 | $3,311.31 | $3,311.31 | |
Lucent Health
| Professional | $3,467.37 | $5,248.07 | $5,248.07 | |
United
| Facility | $251.19 | $707.95 | $707.95 | |
United
| Professional | $295.12 | $416.87 | $707.95 |