| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,103.00 | $3,062.00 | $7,602.00 | |
BCBS
| Facility | $2,562.00 | $4,657.00 | $8,456.00 | |
Lucent Health
| Facility | $55.00 | $18,796.25 | $18,796.25 | |
United
| Facility | $2,905.00 | $6,073.00 | $10,287.00 |