| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.50 | $117.49 | $117.49 | |
Aetna
| Professional | $70.79 | $107.15 | $190.55 | |
BCBS
| Professional | $204.17 | $204.17 | $204.17 | |
Lucent Health
| Facility | $3,715.35 | $3,715.35 | $3,715.35 | |
Lucent Health
| Professional | $724.44 | $1,047.13 | $1,047.13 |