| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $437.03 | $524.42 | $524.42 | |
Aetna
| Professional | $262.22 | $297.18 | $297.18 | |
CareSource
| Facility | $471.99 | $1,966.61 | $9,439.74 | |
CareSource
| Professional | $419.54 | $471.99 | $119,998.80 | |
United
| Facility | $209.77 | $209.77 | $209.77 | |
United
| Professional | $146.84 | $174.81 | $506.95 |