| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,311.00 | $4,069.00 | $10,234.00 | |
Lucent Health
| Facility | $55.00 | $106,031.31 | $108,444.84 | |
Lucent Health
| Facility | 62 | $6,864.78 | $13,302.56 | $13,302.56 |
United
| Facility | $1,200.00 | $2,665.00 | $4,918.00 |