| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $614.59 | $649.44 | $665.28 | |
Aetna
| Professional | $364.32 | $649.44 | $665.28 | |
BCBS
| Facility | $108.00 | $143.00 | $388.00 | |
Lucent Health
| Professional | $875.00 | $875.00 | $875.00 |