| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.51 | $2,678.00 | $7,602.00 | |
BCBS
| Facility | $5,216.00 | $10,205.00 | $17,412.00 | |
Lucent Health
| Facility | $55.00 | $2,275.28 | $2,321.66 | |
Lucent Health
| Facility | AS | $115.81 | $232.17 | $232.17 |
United
| Facility | $1,200.00 | $2,665.00 | $4,918.00 |