| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $453.36 | $2,130.00 | $6,681.00 | |
BCBS
| Facility | $1,676.00 | $3,611.00 | $6,090.00 | |
Lucent Health
| Facility | $2,067.52 | $6,817.20 | $12,000.00 | |
United
| Facility | $1,794.00 | $3,616.00 | $6,003.00 |