| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.27 | $189.15 | $244.75 | |
BCBS
| Facility | $108.00 | $142.00 | $388.00 | |
Lucent Health
| Facility | $223.62 | $1,060.00 | $1,060.00 | |
United
| Facility | $280.00 | $784.00 | $2,791.00 |