| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,479.29 | $3,939.75 | $7,602.00 | |
BCBS
| Facility | $2,695.00 | $5,467.00 | $9,272.00 | |
Lucent Health
| Facility | $55.00 | $13,856.55 | $13,856.55 | |
United
| Facility | $3,964.00 | $8,273.00 | $12,362.00 |