| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.06 | $47.06 | $47.06 | |
Aetna
| Professional | $47.06 | $47.06 | $85.95 | |
Lucent Health
| Facility | $64.00 | $100.00 | $268.66 | |
Lucent Health
| Professional | $268.66 | $268.66 | $268.66 |