| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,122.00 | $3,939.75 | $10,234.00 | |
BCBS
| Facility | $2,695.00 | $5,467.00 | $9,283.00 | |
Lucent Health
| Facility | $5,845.07 | $16,223.75 | $26,542.00 | |
United
| Facility | $2,799.00 | $5,728.00 | $10,111.00 |