| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $288.40 | $288.40 | |
Aetna
| Professional | $245.47 | $281.84 | $331.13 | |
CareSource
| Facility | $467.74 | $467.74 | $467.74 | |
CareSource
| Professional | $416.87 | $416.87 | $416.87 | |
United
| Professional | $147.91 | $158.49 | $436.52 |