| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,256.00 | $3,863.00 | $20,647.00 | |
BCBS
| Facility | $3,146.00 | $7,138.00 | $13,734.00 | |
Lucent Health
| Facility | $4,736.47 | $27,770.10 | $27,770.10 | |
United
| Facility | $3,964.00 | $8,273.00 | $12,407.00 |