| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $452.00 | $2,303.00 | $7,602.00 | |
Aetna
| Professional | $36.00 | $36.00 | $36.00 | |
BCBS
| Facility | $101.00 | $142.00 | $388.00 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $294.00 | $794.00 | $2,577.00 |