| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,388.54 | $4,069.00 | $7,403.00 | |
BCBS
| Facility | $2,771.00 | $7,133.00 | $13,623.00 | |
Lucent Health
| Facility | $8,194.90 | $27,770.10 | $27,770.10 | |
United
| Facility | $3,959.00 | $8,273.00 | $12,407.00 |