| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.34 | $2,678.00 | $10,234.00 | |
BCBS
| Facility | $110.00 | $147.00 | $1,676.00 | |
Lucent Health
| Facility | $207.37 | $15,816.20 | $26,542.00 | |
United
| Facility | $3,959.00 | $8,273.00 | $15,351.00 |