| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.53 | $95.38 | $852.50 | |
Aetna
| Professional | $61.53 | $95.38 | $111.66 | |
BCBS
| Professional | $202.00 | $202.00 | $474.70 | |
Lucent Health
| Facility | $211.34 | $3,728.65 | $3,728.65 | |
Lucent Health
| Professional | $728.46 | $728.46 | $1,046.40 |