| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $684.14 | $722.93 | $740.57 | |
Aetna
| Professional | $405.55 | $722.93 | $740.57 | |
BCBS
| Facility | $108.00 | $143.00 | $388.00 | |
Lucent Health
| Professional | $1,054.00 | $1,054.00 | $1,054.00 |