| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.60 | $53.60 | $67.01 | |
Aetna
| Professional | $30.06 | $53.60 | $67.01 | |
BCBS
| Professional | $52.28 | $75.00 | $124.37 | |
Lucent Health
| Facility | $32.67 | $158.34 | $179.98 | |
Lucent Health
| Professional | $246.18 | $246.18 | $246.18 | |
United
| Professional | $60.92 | $75.17 | $116.93 |