| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.75 | $160.34 | $338.60 | |
BCBS
| Facility | $1,275.00 | $2,138.00 | $2,805.00 | |
Lucent Health
| Facility | $55.00 | $4,989.20 | $4,989.20 | |
United
| Facility | $1,130.00 | $2,297.00 | $4,099.00 |