| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $995.98 | $3,422.00 | $15,676.00 | |
Aetna
| Facility | 53 | $99.13 | $199.20 | $269.95 |
BCBS
| Facility | $2,430.00 | $7,138.00 | $13,623.00 | |
Lucent Health
| Facility | $2,324.00 | $43,315.00 | $43,315.00 | |
Lucent Health
| Facility | 53 | $246.60 | $8,211.29 | $8,211.29 |
United
| Facility | $5,029.00 | $12,981.00 | $27,255.00 |