| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.54 | $14.74 | $19.82 | |
BCBS
| Professional | $34.50 | $46.00 | $108.10 | |
Lucent Health
| Facility | $41.25 | $114.73 | $114.73 | |
Lucent Health
| Professional | $119.94 | $120.20 | $183.90 | |
United
| Professional | $25.00 | $25.00 | $25.00 |