| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,256.00 | $3,940.00 | $20,647.00 | |
BCBS
| Facility | $3,146.00 | $7,133.00 | $13,961.00 | |
Lucent Health
| Facility | $5,869.15 | $27,770.10 | $27,770.10 | |
United
| Facility | $3,964.00 | $8,222.00 | $12,407.00 |