| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $339.74 | $2,303.00 | $7,602.00 | |
BCBS
| Facility | $764.00 | $1,487.00 | $2,244.00 | |
Lucent Health
| Facility | $900.36 | $917.52 | $16,394.00 | |
United
| Facility | $294.00 | $794.00 | $2,577.00 |