| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.57 | $59.78 | $59.78 | |
Aetna
| Professional | $38.57 | $59.78 | $67.94 | |
BCBS
| Professional | $53.00 | $53.00 | $124.55 | |
Lucent Health
| Facility | $131.75 | $410.31 | $410.31 | |
Lucent Health
| Professional | $621.45 | $638.48 | $652.20 |