| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,586.17 | $2,678.00 | $10,234.00 | |
BCBS
| Facility | $1,343.00 | $2,326.00 | $4,936.00 | |
Lucent Health
| Facility | $55.00 | $14,753.12 | $15,067.52 | |
Lucent Health
| Facility | AS | $201.41 | $392.71 | $392.71 |
United
| Facility | $1,233.00 | $2,665.00 | $4,918.00 |