| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.57 | $1,821.00 | $6,681.00 | |
BCBS
| Facility | $108.00 | $147.00 | $1,676.00 | |
Lucent Health
| Facility | $201.33 | $212.14 | $12,000.00 | |
Lucent Health
| Facility | AS | $20.13 | $21.21 | $21.21 |
United
| Facility | $294.00 | $786.00 | $2,577.00 |