| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $2,290.87 | $4,073.80 | |
BCBS
| Facility | $724.44 | $1,513.56 | $2,238.72 | |
Lucent Health
| Facility | $2,137.96 | $2,137.96 | $28,840.32 | |
United
| Facility | $741.31 | $1,445.44 | $2,884.03 |