| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.46 | $1,821.00 | $6,681.00 | |
BCBS
| Facility | $101.00 | $147.00 | $623.00 | |
Cigna
| Facility | $30.00 | $30.00 | $30.00 | |
Lucent Health
| Facility | $2,990.54 | $3,569.02 | $5,000.00 | |
Lucent Health
| Facility | 62 | $342.53 | $676.58 | $676.58 |
Lucent Health
| Facility | AS | $54.80 | $108.25 | $108.25 |
United
| Facility | $294.00 | $808.00 | $2,791.00 |