| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $330.22 | $2,011.00 | $6,681.00 | |
BCBS
| Facility | $108.00 | $150.00 | $4,582.00 | |
Lucent Health
| Facility | $55.00 | $1,236.66 | $12,500.00 | |
United
| Facility | $294.00 | $794.00 | $2,577.00 |