| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.25 | $2,691.53 | $11,220.18 | |
BCBS
| Facility | $109.65 | $151.36 | $1,621.81 | |
Lucent Health
| Facility | $15,848.93 | $15,848.93 | $50,118.72 | |
United
| Facility | $4,365.16 | $8,317.64 | $15,135.61 |