| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.88 | $112.88 | $141.10 | |
Aetna
| Professional | $98.77 | $141.10 | $148.10 | |
BCBS
| Professional | $139.94 | $200.30 | $328.67 | |
Lucent Health
| Facility | $363.37 | $817.48 | $817.48 | |
Lucent Health
| Professional | $1,137.35 | $1,169.68 | $1,318.35 | |
United
| Professional | $147.37 | $221.67 | $367.20 |