| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,103.00 | $2,783.49 | $7,602.00 | |
BCBS
| Facility | $2,523.00 | $4,657.00 | $8,456.00 | |
Lucent Health
| Facility | $5,072.52 | $14,907.95 | $26,542.00 | |
United
| Facility | $1,794.00 | $3,626.00 | $6,291.00 |