| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.40 | $1,261.75 | $6,214.00 | |
BCBS
| Facility | $764.00 | $1,480.00 | $2,244.00 | |
Lucent Health
| Facility | $55.00 | $1,315.00 | $1,315.00 | |
United
| Facility | $267.00 | $788.00 | $2,495.00 |