| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.65 | $43.65 | $43.65 | |
BCBS
| Professional | $28.84 | $28.84 | $28.84 | |
Lucent Health
| Facility | $165.96 | $165.96 | $165.96 | |
United
| Facility | $144.54 | $144.54 | $165.96 | |
United
| Professional | $14.45 | $22.91 | $28.18 |