| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $853.00 | $2,683.00 | $7,602.00 | |
BCBS
| Facility | $108.00 | $147.00 | $1,959.00 | |
Lucent Health
| Facility | $481.12 | $2,538.00 | $26,542.00 | |
United
| Facility | $294.00 | $808.00 | $2,577.00 |