| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.53 | $214.40 | $852.50 | |
Aetna
| Professional | $34.09 | $52.85 | $57.50 | |
BCBS
| Professional | $123.00 | $123.00 | $289.05 | |
Lucent Health
| Facility | $115.66 | $5,062.89 | $5,062.89 | |
Lucent Health
| Professional | $402.94 | $402.94 | $572.40 |