| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.45 | $1,357.00 | $4,069.00 | |
BCBS
| Facility | $756.00 | $1,487.00 | $2,257.00 | |
Lucent Health
| Facility | $55.00 | $1,170.96 | $1,199.52 | |
United
| Facility | $719.00 | $1,560.00 | $2,914.00 |