| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,821.00 | $4,341.45 | $10,746.00 | |
BCBS
| Facility | $4,582.00 | $10,320.00 | $19,152.00 | |
Lucent Health
| Facility | $6,688.20 | $156,719.79 | $156,719.79 | |
United
| Facility | $8,488.00 | $21,642.00 | $68,350.00 |