| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $458.82 | $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 | $55.00 | $3,764.32 | $3,864.70 | |
Lucent Health
| Facility | AS | $57.75 | $114.09 | $114.09 |
United
| Facility | $294.00 | $814.00 | $2,791.00 |