| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.56 | $202.14 | $309.62 | |
Aetna
| Professional | $121.04 | $158.87 | $204.26 | |
BCBS
| Professional | $160.47 | $222.94 | $349.10 | |
Lucent Health
| Facility | $2,505.02 | $6,592.43 | $6,592.43 | |
Lucent Health
| Professional | $6,299.47 | $6,299.47 | $10,389.98 | |
United
| Professional | $157.22 | $209.73 | $383.26 |