| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,091.64 | $4,341.45 | $15,676.00 | |
BCBS
| Facility | $2,430.00 | $7,138.00 | $13,734.00 | |
Lucent Health
| Facility | $2,188.50 | $43,081.10 | $43,081.10 | |
United
| Facility | $5,029.00 | $12,899.00 | $27,255.00 |