| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.94 | $1,821.00 | $7,449.60 | |
Aetna
| Facility | 50 | $642.72 | $1,073.50 | $2,118.50 |
BCBS
| Facility | $108.00 | $148.00 | $1,959.00 | |
Lucent Health
| Facility | $55.00 | $971.85 | $1,039.10 | |
United
| Facility | $294.00 | $794.00 | $2,577.00 |