| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $494.75 | $2,683.00 | $7,602.00 | |
BCBS
| Facility | $108.00 | $148.00 | $1,676.00 | |
Lucent Health
| Facility | $55.00 | $1,227.70 | $1,275.80 | |
United
| Facility | $2,426.00 | $4,567.00 | $7,604.00 |