| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $447.32 | $2,133.00 | $7,602.00 | |
BCBS
| Facility | $101.00 | $147.00 | $623.00 | |
Lucent Health
| Facility | $55.00 | $774.85 | $774.85 | |
United
| Facility | $294.00 | $814.00 | $2,713.00 |