| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,391.00 | $4,161.00 | $10,746.00 | |
BCBS
| Facility | $2,303.00 | $4,036.00 | $6,449.00 | |
Lucent Health
| Facility | $4,419.18 | $7,909.30 | $26,542.00 | |
United
| Facility | $1,695.00 | $3,616.00 | $6,285.00 |