| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,201.86 | $5,208.89 | $19,870.00 | |
BCBS
| Facility | $3,691.00 | $7,194.00 | $13,961.00 | |
Lucent Health
| Facility | $5,897.00 | $27,770.10 | $27,770.10 | |
United
| Facility | $3,964.00 | $8,273.00 | $12,407.00 |