| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $530.03 | $2,678.00 | $7,602.00 | |
BCBS
| Facility | $5,216.00 | $10,378.00 | $16,995.00 | |
Lucent Health
| Facility | $55.00 | $1,332.36 | $1,332.36 | |
Lucent Health
| Facility | AS | $65.72 | $133.24 | $133.24 |
United
| Facility | $1,200.00 | $2,665.00 | $4,918.00 |