| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $205.06 | $2,133.00 | $7,602.00 | |
BCBS
| Facility | $110.00 | $147.00 | $1,599.00 | |
Lucent Health
| Facility | $461.73 | $483.03 | $12,000.00 | |
United
| Facility | $294.00 | $794.00 | $2,577.00 |