| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $2,691.53 | $7,585.78 | |
BCBS
| Facility | $109.65 | $151.36 | $1,995.26 | |
Lucent Health
| Facility | $54.95 | $2,187.76 | $2,187.76 | |
United
| Facility | $295.12 | $812.83 | $2,511.89 |