| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.89 | $2,130.00 | $7,602.00 | |
BCBS
| Facility | $110.00 | $148.00 | $1,676.00 | |
Lucent Health
| Facility | $405.71 | $427.98 | $12,000.00 | |
Lucent Health
| Facility | AS | $40.57 | $42.80 | $42.80 |
United
| Facility | $294.00 | $786.00 | $2,577.00 |