| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.31 | $64.57 | $660.69 | |
BCBS
| Professional | $60.26 | $89.13 | $147.91 | |
Lucent Health
| Professional | $2,238.72 | $3,388.44 | $3,388.44 | |
United
| Professional | $52.48 | $70.79 | $112.20 |