| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.38 | $53.79 | $81.93 | |
Aetna
| Professional | $39.89 | $41.38 | $41.38 | |
Lucent Health
| Facility | $1,806.98 | $5,158.68 | $5,158.68 | |
United
| Professional | $42.28 | $42.28 | $42.38 |