| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,119.08 | $2,678.00 | $10,234.00 | |
BCBS
| Facility | $108.00 | $142.00 | $388.00 | |
Lucent Health
| Facility | $55.00 | $2,628.01 | $2,783.31 | |
Lucent Health
| Facility | AS | $142.30 | $278.33 | $278.33 |
United
| Facility | $1,233.00 | $2,665.00 | $4,918.00 |