| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,821.00 | $2,683.00 | $10,234.00 | |
BCBS
| Facility | $3,512.00 | $7,194.00 | $13,734.00 | |
Lucent Health
| Facility | $55.00 | $13,559.59 | $13,940.30 | |
Lucent Health
| Facility | AS | $267.16 | $517.14 | $517.14 |
United
| Facility | $1,233.00 | $2,665.00 | $4,918.00 |