| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $381.34 | $2,061.75 | $6,681.00 | |
BCBS
| Facility | $108.00 | $150.00 | $1,959.00 | |
Cigna
| Facility | $30.00 | $30.00 | $30.00 | |
Lucent Health
| Facility | $4,219.46 | $5,008.92 | $5,117.28 | |
Lucent Health
| Facility | AS | $76.37 | $151.57 | $151.57 |
United
| Facility | $294.00 | $808.00 | $2,791.00 |