| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,122.00 | $4,323.00 | $16,085.00 | |
BCBS
| Facility | $3,013.00 | $6,434.00 | $9,419.00 | |
Lucent Health
| Facility | $5,723.90 | $16,223.75 | $26,542.00 | |
United
| Facility | $3,964.00 | $8,273.00 | $12,407.00 |