| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,136.74 | $1,136.74 | $14,787.20 | |
CareSource
| Facility | $774.18 | $880.32 | $959.12 | |
CareSource
| Professional | $852.55 | $852.55 | $852.55 | |
United
| Professional | $10,019.81 | $15,249.35 | $26,771.71 |