| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $452.00 | $2,303.00 | $6,681.00 | |
BCBS
| Facility | $108.00 | $142.00 | $388.00 | |
Lucent Health
| Facility | $55.00 | $2,056.57 | $2,056.57 | |
United
| Facility | $3,964.00 | $8,273.00 | $17,174.00 |