| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,311.00 | $4,069.00 | $15,974.00 | |
BCBS
| Facility | $1,375.00 | $2,387.00 | $4,235.00 | |
Lucent Health
| Facility | $11,933.00 | $24,373.28 | $25,005.92 | |
United
| Facility | $2,271.00 | $5,605.00 | $10,104.00 |