| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,821.00 | $5,565.00 | $10,234.00 | |
BCBS
| Facility | $3,146.00 | $7,194.00 | $13,498.00 | |
Lucent Health
| Facility | $2,742.66 | $57,753.25 | $57,753.25 | |
United
| Facility | $5,052.00 | $10,886.00 | $20,054.00 |