| 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 | $150.00 | $1,676.00 | |
Cigna
| Facility | $30.00 | $30.00 | $30.00 | |
Lucent Health
| Facility | $4,381.16 | $5,214.58 | $5,313.28 | |
Lucent Health
| Facility | AS | $79.78 | $157.94 | $157.94 |
United
| Facility | $294.00 | $808.00 | $2,577.00 |