| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $208.93 | $363.08 | |
Aetna
| Professional | $114.82 | $120.23 | $123.03 | |
BCBS
| Professional | $489.78 | $489.78 | $489.78 | |
Lucent Health
| Facility | $208.93 | $208.93 | $208.93 | |
Lucent Health
| Professional | $645.65 | $645.65 | $645.65 |