| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,821.00 | $3,101.22 | $7,602.00 | |
BCBS
| Facility | $2,465.00 | $9,498.00 | $16,372.00 | |
Lucent Health
| Facility | $55.00 | $5,249.68 | $5,522.64 | |
United
| Facility | $2,799.00 | $5,728.00 | $10,111.00 |