| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $893.00 | $2,683.00 | $7,602.00 | |
BCBS
| Facility | $2,523.00 | $4,657.00 | $7,782.00 | |
Lucent Health
| Facility | $1,621.36 | $14,302.50 | $26,542.00 | |
United
| Facility | $1,695.00 | $3,616.00 | $6,285.00 |