| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,961.62 | $8,102.62 | $16,566.97 | |
Aetna
| Professional | $3,775.00 | $7,961.62 | $7,961.62 | |
Lucent Health
| Facility | $64.00 | $100.00 | $5,913.52 | |
Lucent Health
| Professional | $5,256.46 | $5,256.46 | $5,256.46 |