| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $452.00 | $2,258.00 | $10,234.00 | |
BCBS
| Facility | $110.00 | $148.00 | $4,582.00 | |
Lucent Health
| Facility | $55.00 | $1,534.64 | $1,557.12 | |
United
| Facility | $294.00 | $794.00 | $2,577.00 |