| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $298.42 | $2,133.00 | $6,681.00 | |
BCBS
| Facility | $108.00 | $148.00 | $1,959.00 | |
Lucent Health
| Facility | $55.00 | $744.78 | $773.68 | |
United
| Facility | $294.00 | $808.00 | $2,577.00 |