| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.59 | $1,367.00 | $6,214.00 | |
BCBS
| Facility | $764.00 | $1,534.00 | $2,257.00 | |
Lucent Health
| Facility | $55.00 | $630.96 | $649.32 | |
United
| Facility | $294.00 | $794.00 | $2,577.00 |