| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $244.42 | $2,303.00 | $7,602.00 | |
BCBS
| Facility | $756.00 | $1,504.00 | $3,302.00 | |
Lucent Health
| Facility | $55.00 | $592.13 | $608.65 | |
United
| Facility | $695.00 | $1,560.00 | $2,914.00 |