| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.00 | $3,756.18 | $9,136.51 | |
Aetna
| Professional | $2,398.00 | $2,398.00 | $2,453.46 | |
Lucent Health
| Facility | $64.00 | $100.00 | $8,259.79 | |
Lucent Health
| Professional | $7,342.05 | $7,342.05 | $7,342.05 |