| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.97 | $488.03 | $732.04 | |
Aetna
| Professional | $432.26 | $586.54 | $771.67 | |
Lucent Health
| Facility | $1,526.17 | $4,357.03 | $4,357.03 | |
Lucent Health
| Professional | $4,860.70 | $4,860.70 | $6,718.20 | |
United
| Professional | $883.24 | $883.24 | $883.24 |