| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,103.00 | $2,683.00 | $7,602.00 | |
BCBS
| Facility | $2,221.00 | $3,989.00 | $5,878.00 | |
Lucent Health
| Facility | $3,787.80 | $11,879.05 | $26,542.00 | |
United
| Facility | $2,905.00 | $6,073.00 | $10,287.00 |