| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.25 | $109.42 | $339.21 | |
BCBS
| Facility | $108.00 | $142.00 | $375.00 | |
Lucent Health
| Facility | $57.44 | $5,294.00 | $5,294.00 | |
United
| Facility | $294.00 | $794.00 | $2,577.00 |