| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $452.00 | $1,949.79 | $6,681.00 | |
BCBS
| Facility | $108.00 | $147.00 | $1,676.00 | |
Lucent Health
| Facility | $55.00 | $2,896.00 | $3,029.79 | |
United
| Facility | $294.00 | $786.00 | $2,577.00 |