| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $486.75 | $2,303.00 | $6,681.00 | |
BCBS
| Facility | $756.00 | $1,522.00 | $2,257.00 | |
Lucent Health
| Facility | $1,283.68 | $1,372.99 | $16,394.00 | |
United
| Facility | $695.00 | $1,560.00 | $2,914.00 |