| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $283.08 | $2,133.00 | $7,602.00 | |
BCBS
| Facility | $756.00 | $1,480.00 | $2,244.00 | |
Lucent Health
| Facility | $887.74 | $907.20 | $12,000.00 | |
United
| Facility | $294.00 | $795.00 | $2,577.00 |