| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,073.95 | $1,073.95 | $11,308.00 | |
CareSource
| Facility | $725.69 | $831.70 | $906.15 | |
CareSource
| Professional | $805.46 | $805.46 | $805.46 | |
United
| Professional | $7,257.78 | $11,545.63 | $16,634.00 |