| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,659.59 | $1,659.59 | $3,388.44 | |
CareSource
| Facility | $346.74 | $346.74 | $3,467.37 | |
CareSource
| Professional | $380.19 | $380.19 | $3,801.89 | |
United
| Facility | $269.15 | $316.23 | $2,089.30 | |
United
| Professional | $1,548.82 | $2,630.27 | $4,466.84 |