| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,032.35 | $3,940.00 | $8,246.96 | |
BCBS
| Facility | $2,984.00 | $5,467.00 | $9,283.00 | |
Lucent Health
| Facility | $2,800.00 | $14,830.64 | $15,140.95 | |
Lucent Health
| Facility | AS | $296.52 | $576.66 | $576.66 |
United
| Facility | $2,799.00 | $5,728.00 | $10,111.00 |