| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $30.20 | $43.65 | |
BCBS
| Professional | $20.42 | $30.90 | $51.29 | |
Lucent Health
| Facility | $208.93 | $208.93 | $208.93 | |
Lucent Health
| Professional | $208.93 | $302.00 | $302.00 | |
United
| Professional | $19.05 | $23.99 | $36.31 |