| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $517.29 | $2,133.00 | $7,602.00 | |
BCBS
| Facility | $108.00 | $147.00 | $1,959.00 | |
Lucent Health
| Facility | $55.00 | $1,194.38 | $1,227.26 | |
Lucent Health
| Facility | AS | $63.74 | $122.73 | $122.73 |
United
| Facility | $294.00 | $794.00 | $2,577.00 |