| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,073.77 | $3,468.00 | $9,270.14 | |
BCBS
| Facility | $2,695.00 | $5,467.00 | $9,419.00 | |
Lucent Health
| Facility | $2,800.00 | $16,223.75 | $16,223.75 | |
United
| Facility | $3,959.00 | $8,273.00 | $12,407.00 |