| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.57 | $2,678.00 | $7,602.00 | |
BCBS
| Facility | $108.00 | $143.00 | $388.00 | |
Lucent Health
| Facility | $55.00 | $1,138.41 | $1,172.68 | |
United
| Facility | $1,233.00 | $2,512.00 | $15,200.00 |