| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $881.00 | $2,678.00 | $7,602.00 | |
BCBS
| Facility | $1,417.00 | $2,387.00 | $4,827.00 | |
Lucent Health
| Facility | $55.00 | $9,569.34 | $9,827.51 | |
Lucent Health
| Facility | AS | $189.07 | $365.27 | $365.27 |
United
| Facility | $1,233.00 | $2,665.00 | $4,918.00 |