| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $694.00 | $4,069.00 | $30,144.21 | |
BCBS
| Facility | $2,711.00 | $10,320.00 | $18,691.00 | |
Lucent Health
| Facility | $2,946.48 | $142,675.35 | $142,675.35 | |
United
| Facility | $8,488.00 | $18,622.00 | $74,885.00 |