| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $2,691.53 | $7,585.78 | |
BCBS
| Facility | $1,258.93 | $2,454.71 | $5,623.41 | |
Lucent Health
| Facility | $54.95 | $2,344.23 | $2,344.23 | |
United
| Facility | $1,258.93 | $2,630.27 | $4,786.30 |