| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,183.42 | $3,940.00 | $7,602.00 | |
BCBS
| Facility | $1,428.00 | $2,388.00 | $5,616.00 | |
Lucent Health
| Facility | $55.00 | $28,296.32 | $29,005.44 | |
United
| Facility | $1,200.00 | $2,665.00 | $4,918.00 |