| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $583.34 | $616.41 | $631.45 | |
Aetna
| Professional | $345.79 | $616.41 | $631.45 | |
BCBS
| Facility | $101.00 | $139.00 | $388.00 | |
Lucent Health
| Professional | $753.00 | $753.00 | $753.00 |