| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $590.13 | $2,133.00 | $7,602.00 | |
BCBS
| Facility | $108.00 | $148.00 | $2,367.00 | |
Lucent Health
| Facility | $55.00 | $1,653.07 | $1,702.21 | |
Lucent Health
| Facility | AS | $88.33 | $170.22 | $170.22 |
United
| Facility | $294.00 | $794.00 | $2,577.00 |