| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $295.12 | $380.19 | $380.19 | |
Anthem BCBS
| Professional | $478.63 | $1,445.44 | $100,000.00 | |
Blue Shield
| Professional | $39.81 | $39.81 | $39.81 | |
Lucent Health
| Facility | $2,691.53 | $2,691.53 | $2,691.53 | |
United
| Professional | $309.03 | $371.54 | $478.63 |