| 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 | $112,053.90 | $114,807.21 | |
Lucent Health
| Facility | 62 | $7,252.56 | $14,043.08 | $14,043.08 |
United
| Facility | $1,200.00 | $2,665.00 | $4,918.00 |