| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $945.00 | $3,682.00 | $12,040.00 | |
Aetna
| Professional | $1,093.00 | $4,561.00 | $13,004.00 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $157.00 | $950.00 | $2,376.00 |