| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,256.00 | $3,940.00 | $8,904.00 | |
BCBS
| Facility | $2,830.00 | $5,313.00 | $9,272.00 | |
Lucent Health
| Facility | $5,090.34 | $16,547.20 | $26,542.00 | |
United
| Facility | $3,219.00 | $5,747.00 | $12,082.00 |