| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $643.51 | $4,069.00 | $10,746.00 | |
BCBS
| Facility | $108.00 | $147.00 | $1,676.00 | |
Lucent Health
| Facility | $571.29 | $3,930.50 | $26,542.00 | |
Lucent Health
| Facility | AS | $62.90 | $119.91 | $119.91 |
United
| Facility | $294.00 | $808.00 | $2,577.00 |