| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,391.00 | $4,161.00 | $10,746.00 | |
BCBS
| Facility | $1,662.00 | $3,101.00 | $5,323.00 | |
Lucent Health
| Facility | $4,296.89 | $6,887.55 | $26,542.00 | |
United
| Facility | $1,794.00 | $3,626.00 | $6,291.00 |