| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $334.89 | $830.11 | $3,230.00 | |
Aetna
| Facility | 52 | $115.13 | $322.22 | $1,670.67 |
BCBS
| Facility | $1,917.00 | $3,611.00 | $5,959.00 | |
Lucent Health
| Facility | $55.00 | $2,262.21 | $2,262.21 | |
Lucent Health
| Facility | 52 | $869.54 | $930.74 | $930.74 |
United
| Facility | $1,695.00 | $3,616.00 | $6,285.00 |