| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $853.00 | $2,678.00 | $7,602.00 | |
BCBS
| Facility | $110.00 | $148.00 | $2,759.00 | |
Lucent Health
| Facility | $776.55 | $2,538.00 | $26,542.00 | |
United
| Facility | $294.00 | $808.00 | $2,577.00 |