| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,172.08 | $1,238.55 | $1,268.76 | |
Aetna
| Professional | $694.80 | $1,238.55 | $1,268.76 | |
BCBS
| Facility | $101.00 | $143.00 | $388.00 | |
Lucent Health
| Professional | $1,178.00 | $1,178.00 | $1,178.00 |