| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.57 | $4,069.00 | $7,602.00 | |
BCBS
| Facility | $108.00 | $139.00 | $388.00 | |
Cigna
| Facility | $30.00 | $30.00 | $30.00 | |
Lucent Health
| Facility | $147.13 | $3,779.00 | $3,779.00 | |
Lucent Health
| Facility | AS | $15.19 | $40.89 | $40.89 |
United
| Facility | $294.00 | $808.00 | $2,577.00 |