| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,258.00 | $3,940.00 | $15,584.91 | |
BCBS
| Facility | $2,132.00 | $3,728.00 | $5,959.00 | |
Lucent Health
| Facility | $55.00 | $23,560.00 | $24,194.88 | |
United
| Facility | $2,887.00 | $4,567.00 | $7,699.00 |