| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,800.00 | $5,565.00 | $10,234.00 | |
BCBS
| Facility | $3,146.00 | $7,178.00 | $13,623.00 | |
Lucent Health
| Facility | $55.00 | $57,685.10 | $57,685.10 | |
United
| Facility | $3,959.00 | $8,273.00 | $12,407.00 |