| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $736.46 | $3,235.49 | $7,182.00 | |
BCBS
| Facility | $2,132.00 | $3,688.00 | $5,878.00 | |
Cigna
| Facility | $30.00 | $30.00 | $30.00 | |
Lucent Health
| Facility | $3,067.32 | $8,957.00 | $26,542.00 | |
Lucent Health
| Facility | AS | $140.25 | $849.00 | $849.00 |
United
| Facility | $2,426.00 | $4,722.00 | $7,699.00 |