| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.42 | $1,380.38 | $3,981.07 | |
BCBS
| Facility | $100.00 | $147.91 | $602.56 | |
Cigna
| Facility | $30.20 | $30.20 | $30.20 | |
Lucent Health
| Facility | $3,981.07 | $3,981.07 | $5,011.87 | |
Lucent Health
| Facility | 62 | $2,511.89 | $2,511.89 | $2,511.89 |
Lucent Health
| Facility | AS | $398.11 | $398.11 | $398.11 |
United
| Facility | $295.12 | $812.83 | $2,818.38 |