| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $700.00 | $700.00 | $1,225.00 | |
Aetna
| Professional | $700.00 | $700.00 | $700.00 | |
BCBS
| Professional | $56.11 | $56.11 | $56.11 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 |