| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $352.00 | $406.00 | $561.00 | |
BCBS
| Facility | $37.58 | $223.68 | $1,221.78 | |
Lucent Health
| Facility | $1,250.00 | $1,250.00 | $1,250.00 | |
Optum
| Facility | $115.00 | $115.00 | $115.00 |