| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,100.00 | $3,940.00 | $10,234.00 | |
BCBS
| Facility | $2,695.00 | $5,486.00 | $9,283.00 | |
Lucent Health
| Facility | $2,962.75 | $16,223.75 | $26,542.00 | |
United
| Facility | $3,964.00 | $8,273.00 | $12,407.00 |