| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $300.25 | $2,258.00 | $12,339.20 | |
BCBS
| Facility | $108.00 | $148.00 | $2,759.00 | |
Lucent Health
| Facility | $55.00 | $1,303.38 | $1,326.34 | |
United
| Facility | $1,233.00 | $2,665.00 | $4,918.00 |