| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,819.70 | $2,691.53 | $7,585.78 | |
BCBS
| Facility | $109.65 | $147.91 | $407.38 | |
Lucent Health
| Facility | $54.95 | $1,698.24 | $1,698.24 | |
Lucent Health
| Facility | AS | $169.82 | $169.82 | $169.82 |
United
| Facility | $1,258.93 | $2,630.27 | $4,786.30 |