| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $531.25 | $561.37 | $575.05 | |
Aetna
| Professional | $314.92 | $561.37 | $575.05 | |
BCBS
| Facility | $101.00 | $143.00 | $388.00 | |
Lucent Health
| Professional | $1,430.00 | $1,430.00 | $1,430.00 |