| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.05 | $1.05 | $331.19 | |
Aetna
| Professional | $1.05 | $1.05 | $1.05 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $42.44 | $42.44 | $42.44 | |
United
| Professional | $43.60 | $65.40 | $87.20 |