| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,774.24 | $2,683.00 | $7,602.00 | |
BCBS
| Facility | $101.00 | $139.00 | $388.00 | |
Lucent Health
| Facility | $55.00 | $26,135.20 | $26,791.18 | |
Lucent Health
| Facility | AS | $218.27 | $420.67 | $420.67 |
United
| Facility | $294.00 | $794.00 | $2,577.00 |