| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,821.00 | $3,940.00 | $7,602.00 | |
BCBS
| Facility | $1,428.00 | $2,387.00 | $8,921.00 | |
Lucent Health
| Facility | $2,800.00 | $14,755.36 | $15,019.36 | |
United
| Facility | $1,200.00 | $2,665.00 | $4,918.00 |