| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,069.00 | $4,000.00 | $12,120.00 | |
BCBS
| Facility | $30.36 | $372.18 | $1,617.28 | |
Lucent Health
| Facility | $6,498.00 | $13,383.00 | $13,383.00 | |
United
| Facility | $500.00 | $812.00 | $2,229.00 |