| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,863.66 | $3,323.87 | $7,602.00 | |
BCBS
| Facility | $1,417.00 | $2,326.00 | $4,232.00 | |
Lucent Health
| Facility | $55.00 | $21,488.52 | $21,870.72 | |
United
| Facility | $1,128.00 | $2,297.00 | $4,326.00 |