| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $495.55 | $495.55 | $1,426.62 | |
CareSource
| Facility | $337.00 | $383.77 | $418.12 | |
CareSource
| Professional | $371.66 | $371.66 | $371.66 | |
United
| Professional | $924.91 | $1,618.60 | $2,908.00 |