| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,233.99 | $4,069.00 | $10,746.00 | |
BCBS
| Facility | $3,171.00 | $6,434.00 | $9,419.00 | |
Lucent Health
| Facility | $3,763.69 | $17,070.15 | $26,542.00 | |
United
| Facility | $3,964.00 | $8,273.00 | $12,362.00 |