| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,258.00 | $3,940.00 | $7,602.00 | |
BCBS
| Facility | $1,375.00 | $2,387.00 | $8,921.00 | |
Cigna
| Facility | $30.00 | $30.00 | $30.00 | |
Lucent Health
| Facility | $5,000.00 | $19,768.86 | $20,256.48 | |
Lucent Health
| Facility | AS | $479.24 | $944.09 | $944.09 |
United
| Facility | $1,233.00 | $2,532.00 | $4,664.00 |