| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,006.22 | $2,718.84 | $10,234.00 | |
BCBS
| Facility | $1,275.00 | $2,326.00 | $5,065.00 | |
Lucent Health
| Facility | $55.00 | $18,508.80 | $18,944.64 | |
Lucent Health
| Facility | AS | $252.54 | $490.96 | $490.96 |
United
| Facility | $1,233.00 | $2,665.00 | $4,918.00 |