| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $853.00 | $4,028.00 | $15,676.00 | |
BCBS
| Facility | $2,367.00 | $5,434.00 | $9,272.00 | |
Lucent Health
| Facility | $1,689.10 | $35,045.65 | $35,045.65 | |
United
| Facility | $3,964.00 | $8,273.00 | $12,362.00 |