| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.05 | $114.19 | $315.66 | |
BCBS
| Facility | $101.00 | $138.00 | $388.00 | |
Lucent Health
| Facility | $101.99 | $5,294.00 | $5,294.00 | |
United
| Facility | $294.00 | $794.00 | $2,577.00 |