| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,106.50 | $1,106.50 | $14,093.10 | |
CareSource
| Facility | $748.16 | $856.90 | $933.61 | |
CareSource
| Professional | $829.87 | $829.87 | $829.87 | |
United
| Facility | $50,344.63 | $50,344.63 | $50,344.63 | |
United
| Professional | $10,302.54 | $16,482.24 | $28,974.29 |