| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
BCBS
| Facility | $5,456.92 | $5,821.21 | $8,577.84 | |
Lucent Health
| Facility | $80.00 | $100.00 | $100.00 | |
United
| Professional | $3.13 | $4.17 | $4.17 | |
Wellpoint
| Professional | $2.06 | $2.06 | $2.79 |