| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.56 | $2,303.00 | $7,602.00 | |
BCBS
| Facility | $764.00 | $1,483.00 | $2,244.00 | |
Lucent Health
| Facility | $596.75 | $3,499.00 | $12,000.00 | |
United
| Facility | $695.00 | $1,560.00 | $2,914.00 |