| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,176.08 | $2,852.81 | $7,602.00 | |
BCBS
| Facility | $1,417.00 | $2,344.00 | $4,232.00 | |
Lucent Health
| Facility | $55.00 | $24,233.28 | $24,801.28 | |
United
| Facility | $1,233.00 | $2,665.00 | $4,918.00 |