| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,412.54 | $1,513.56 | $3,630.78 | |
BCBS
| Professional | $977.24 | $1,412.54 | $5,495.41 | |
Lucent Health
| Facility | $25,703.96 | $25,703.96 | $25,703.96 | |
Lucent Health
| Professional | $26,915.35 | $40,738.03 | $40,738.03 | |
United
| Professional | $851.14 | $1,148.15 | $2,570.40 |