| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,170.02 | $3,329.00 | $7,602.00 | |
BCBS
| Facility | $3,324.00 | $4,582.00 | $6,899.00 | |
Lucent Health
| Facility | $55.00 | $11,954.96 | $12,321.12 | |
United
| Facility | $1,270.00 | $2,712.00 | $4,835.00 |