| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,311.00 | $4,069.00 | $8,286.66 | |
BCBS
| Facility | $1,270.00 | $2,302.00 | $4,372.00 | |
Lucent Health
| Facility | $55.00 | $44,703.60 | $46,223.52 | |
Lucent Health
| Facility | 62 | $5,004.00 | $10,038.95 | $10,038.95 |
United
| Facility | $1,200.00 | $2,665.00 | $4,918.00 |