| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,821.00 | $3,940.00 | $10,234.00 | |
BCBS
| Facility | $1,417.00 | $2,344.00 | $4,232.00 | |
Lucent Health
| Facility | $5,897.00 | $20,004.00 | $20,549.09 | |
United
| Facility | $1,130.00 | $2,298.00 | $4,330.00 |