| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $1,148.15 | $2,511.89 | |
Ambetter
| Facility | $426.58 | $426.58 | $426.58 | |
BCBS
| Facility | $28.18 | $363.08 | $1,584.89 | |
Lucent Health
| Facility | $2,570.40 | $2,570.40 | $2,570.40 |