| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,119.28 | $2,940.00 | $7,602.00 | |
BCBS
| Facility | $2,803.00 | $5,196.00 | $7,950.00 | |
Lucent Health
| Facility | $55.00 | $10,899.50 | $10,899.50 | |
United
| Facility | $2,259.00 | $4,567.00 | $7,669.00 |