| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $279.45 | $2,133.00 | $7,602.00 | |
BCBS
| Facility | $110.00 | $150.00 | $2,052.00 | |
Lucent Health
| Facility | $55.00 | $544.99 | $555.55 | |
Lucent Health
| Facility | 62 | $181.13 | $347.22 | $347.22 |
Lucent Health
| Facility | AS | $28.98 | $55.56 | $55.56 |
United
| Facility | $280.00 | $784.00 | $2,577.00 |