| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,256.00 | $3,329.00 | $7,602.00 | |
BCBS
| Facility | $1,660.00 | $2,971.00 | $4,630.00 | |
Lucent Health
| Facility | $5,183.04 | $6,499.50 | $26,542.00 | |
United
| Facility | $1,794.00 | $3,626.00 | $6,291.00 |