| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,821.00 | $4,341.45 | $10,746.00 | |
BCBS
| Facility | $3,013.00 | $6,223.00 | $9,283.00 | |
Lucent Health
| Facility | $6,723.00 | $16,547.20 | $26,542.00 | |
United
| Facility | $2,799.00 | $5,728.00 | $10,111.00 |