| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $332.85 | $2,678.00 | $7,602.00 | |
BCBS
| Facility | $110.00 | $148.00 | $3,834.00 | |
Lucent Health
| Facility | $55.00 | $693.34 | $714.40 | |
Lucent Health
| Facility | AS | $37.04 | $71.44 | $71.44 |
United
| Facility | $1,200.00 | $2,665.00 | $4,918.00 |