| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $167.36 | $2,303.00 | $7,602.00 | |
BCBS
| Facility | $108.00 | $148.00 | $1,676.00 | |
Lucent Health
| Facility | $55.00 | $298.49 | $298.49 | |
United
| Facility | $267.00 | $794.00 | $2,495.00 |