| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $166.83 | $2,258.00 | $7,602.00 | |
BCBS
| Facility | $101.00 | $143.00 | $617.00 | |
Cigna
| Facility | $30.00 | $30.00 | $30.00 | |
Lucent Health
| Facility | $55.00 | $159.16 | $307.75 | |
United
| Facility | $294.00 | $808.00 | $2,577.00 |