| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $465.93 | $2,678.00 | $7,602.00 | |
BCBS
| Facility | $2,662.00 | $9,314.00 | $16,372.00 | |
Lucent Health
| Facility | $55.00 | $77,231.80 | $77,231.80 | |
United
| Facility | $6,827.00 | $14,882.00 | $33,761.00 |