| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.98 | $896.00 | $3,230.00 | |
Aetna
| Facility | 52 | $45.34 | $126.89 | $1,606.81 |
BCBS
| Facility | $108.00 | $148.00 | $1,599.00 | |
Lucent Health
| Facility | $55.00 | $455.15 | $455.15 | |
Lucent Health
| Facility | 52 | $341.53 | $364.12 | $364.12 |
United
| Facility | $294.00 | $808.00 | $2,577.00 |