| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.24 | $112.68 | $241.71 | |
BCBS
| Professional | $999.00 | $999.00 | $999.00 | |
Lucent Health
| Facility | $65.00 | $100.00 | $100.00 | |
Lucent Health
| Professional | $108.39 | $108.39 | $108.39 |