| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $560.16 | $2,678.00 | $7,602.00 | |
BCBS
| Facility | $110.00 | $150.00 | $2,367.00 | |
Cigna
| Facility | $30.00 | $30.00 | $30.00 | |
Lucent Health
| Facility | $3,826.76 | $4,561.06 | $5,000.00 | |
Lucent Health
| Facility | AS | $69.92 | $138.26 | $138.26 |
United
| Facility | $1,233.00 | $2,665.00 | $4,918.00 |