| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.72 | $242.09 | $367.83 | |
Aetna
| Professional | $128.38 | $183.40 | $192.35 | |
BCBS
| Professional | $171.03 | $171.03 | $337.61 | |
Lucent Health
| Facility | $402.07 | $999.31 | $999.31 | |
United
| Professional | $189.97 | $228.60 | $499.41 |