| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,103.00 | $2,812.88 | $7,602.00 | |
BCBS
| Facility | $2,201.00 | $3,950.00 | $5,959.00 | |
Lucent Health
| Facility | $5,162.64 | $9,001.70 | $26,542.00 | |
United
| Facility | $2,426.00 | $4,722.00 | $7,669.00 |