| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $318.74 | $2,133.00 | $7,602.00 | |
BCBS
| Facility | $108.00 | $145.00 | $623.00 | |
Lucent Health
| Facility | $55.00 | $701.67 | $701.67 | |
United
| Facility | $267.00 | $794.00 | $2,495.00 |