| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $235.58 | $1,821.00 | $6,681.00 | |
BCBS
| Facility | $101.00 | $143.00 | $623.00 | |
Cigna
| Facility | $30.00 | $30.00 | $30.00 | |
Lucent Health
| Facility | $3,379.46 | $4,025.98 | $5,000.00 | |
Lucent Health
| Facility | 62 | $385.46 | $762.56 | $762.56 |
Lucent Health
| Facility | AS | $61.67 | $122.01 | $122.01 |
United
| Facility | $294.00 | $808.00 | $2,791.00 |