| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.08 | $2,303.00 | $7,602.00 | |
BCBS
| Facility | $110.00 | $150.00 | $1,959.00 | |
Lucent Health
| Facility | $345.15 | $368.08 | $16,394.00 | |
United
| Facility | $294.00 | $786.00 | $2,577.00 |