| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.01 | $5.01 | $30.20 | |
Aetna
| Professional | $25.70 | $38.90 | $45.71 | |
BCBS
| Facility | $104.71 | $147.91 | $407.38 | |
BCBS
| Professional | $37.15 | $56.23 | $91.20 | |
Lucent Health
| Facility | $263.03 | $263.03 | $263.03 | |
Lucent Health
| Professional | $263.03 | $363.08 | $363.08 | |
United
| Professional | $39.81 | $46.77 | $81.28 |