| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.47 | $229.41 | $349.41 | |
Aetna
| Professional | $170.09 | $176.47 | $176.47 | |
Lucent Health
| Facility | $180.71 | $212.61 | $212.61 | |
United
| Professional | $180.30 | $180.30 | $180.72 |