| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.07 | $91.37 | $139.94 | |
Aetna
| Professional | $54.71 | $71.81 | $92.33 | |
BCBS
| Professional | $72.69 | $100.99 | $158.13 | |
Lucent Health
| Facility | $120.00 | $2,613.82 | $2,613.82 | |
Lucent Health
| Professional | $463.54 | $463.54 | $674.48 | |
United
| Professional | $70.16 | $91.62 | $158.91 |