| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,821.00 | $3,992.00 | $6,681.00 | |
BCBS
| Facility | $2,695.00 | $5,500.00 | $9,283.00 | |
Lucent Health
| Facility | $5,398.05 | $22,231.55 | $26,542.00 | |
United
| Facility | $3,959.00 | $8,273.00 | $12,407.00 |