| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $896.00 | $2,303.00 | $7,602.00 | |
Aetna
| Professional | $672.00 | $1,686.00 | $4,573.00 | |
BCBS
| Facility | $101.00 | $137.00 | $388.00 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 |