| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $606.00 | $2,311.00 | $7,602.00 | |
Aetna
| Professional | $27.58 | $27.58 | $27.58 | |
BCBS
| Facility | $707.00 | $1,438.00 | $2,217.00 | |
BCBS
| Professional | $612.13 | $612.13 | $612.13 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $294.00 | $794.00 | $2,577.00 |