| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $452.00 | $2,133.00 | $7,602.00 | |
BCBS
| Facility | $1,676.00 | $4,564.00 | $7,950.00 | |
Lucent Health
| Facility | $2,827.68 | $2,892.80 | $12,000.00 | |
United
| Facility | $1,695.00 | $3,616.00 | $6,285.00 |