| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $705.92 | $3,422.00 | $15,676.00 | |
BCBS
| Facility | $2,430.00 | $7,138.00 | $13,734.00 | |
Lucent Health
| Facility | $1,789.00 | $26,542.00 | $42,800.00 | |
United
| Facility | $5,052.00 | $10,848.00 | $27,103.00 |