| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.00 | $2,258.00 | $7,602.00 | |
BCBS
| Facility | $108.00 | $147.00 | $8,921.00 | |
Cigna
| Facility | $30.00 | $30.00 | $30.00 | |
Lucent Health
| Facility | $4,198.32 | $4,981.89 | $5,110.56 | |
Lucent Health
| Facility | AS | $75.92 | $150.72 | $150.72 |
United
| Facility | $294.00 | $808.00 | $2,577.00 |