| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.74 | $2,290.87 | $4,466.84 | |
BCBS
| Facility | $100.00 | $147.91 | $602.56 | |
Cigna
| Facility | $30.20 | $30.20 | $30.20 | |
Lucent Health
| Facility | $5,011.87 | $7,943.28 | $7,943.28 | |
Lucent Health
| Facility | AS | $794.33 | $794.33 | $794.33 |
United
| Facility | $295.12 | $812.83 | $2,511.89 |