| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,951.33 | $2,683.00 | $7,602.00 | |
BCBS
| Facility | $1,270.00 | $2,302.00 | $4,528.00 | |
Lucent Health
| Facility | $55.00 | $12,164.49 | $12,535.65 | |
Lucent Health
| Facility | AS | $292.98 | $565.58 | $565.58 |
United
| Facility | $1,233.00 | $2,665.00 | $4,918.00 |