| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $900.00 | $2,678.00 | $7,602.00 | |
BCBS
| Facility | $1,375.00 | $2,175.00 | $3,004.00 | |
Cigna
| Facility | $30.00 | $30.00 | $30.00 | |
Lucent Health
| Facility | $55.00 | $4,017.35 | $4,017.35 | |
Lucent Health
| Facility | AS | $142.76 | $380.79 | $380.79 |
United
| Facility | $2,120.00 | $3,599.00 | $7,035.00 |