| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,258.00 | $4,069.00 | $7,602.00 | |
BCBS
| Facility | $1,275.00 | $2,326.00 | $4,372.00 | |
Lucent Health
| Facility | $55.00 | $29,575.92 | $30,310.08 | |
United
| Facility | $1,200.00 | $2,665.00 | $4,918.00 |