| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.69 | $2,630.27 | $7,585.78 | |
BCBS
| Facility | $109.65 | $147.91 | $407.38 | |
Lucent Health
| Facility | $54.95 | $1,288.25 | $1,288.25 | |
Lucent Health
| Facility | AS | $9.77 | $9.77 | $9.77 |
United
| Facility | $295.12 | $812.83 | $2,511.89 |