| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $449.62 | $1,821.00 | $6,681.00 | |
BCBS
| Facility | $945.00 | $2,085.00 | $2,805.00 | |
Cigna
| Facility | $402.73 | $475.00 | $1,992.00 | |
Lucent Health
| Facility | $55.00 | $1,685.44 | $1,706.24 | |
United
| Facility | $875.00 | $2,257.00 | $4,099.00 |