| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $694.00 | $4,069.00 | $16,729.61 | |
BCBS
| Facility | $2,662.00 | $9,498.00 | $16,629.00 | |
Lucent Health
| Facility | $1,700.35 | $74,997.75 | $74,997.75 | |
United
| Facility | $5,052.00 | $10,848.00 | $27,103.00 |