| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,103.00 | $2,807.77 | $7,602.00 | |
BCBS
| Facility | $2,056.00 | $5,467.00 | $9,283.00 | |
Lucent Health
| Facility | $55.00 | $16,547.20 | $16,547.20 | |
United
| Facility | $2,799.00 | $5,728.00 | $10,111.00 |