| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,418.00 | $2,418.00 | $3,313.98 | |
BCBS
| Facility | $3,139.00 | $7,097.00 | $13,149.00 | |
Lucent Health
| Facility | $55.00 | $7,170.05 | $7,318.30 | |
Lucent Health
| Facility | AS | $318.07 | $625.69 | $625.69 |