| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,819.70 | $2,691.53 | $7,585.78 | |
BCBS
| Facility | $100.00 | $147.91 | $602.56 | |
Lucent Health
| Facility | $54.95 | $1,288.25 | $1,288.25 | |
United
| Facility | $1,202.26 | $2,290.87 | $4,073.80 |