| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,998.68 | $4,998.68 | $4,998.68 | |
CareSource
| Facility | $66.51 | $66.51 | $86.22 | |
CareSource
| Professional | $66.51 | $79.81 | $99.77 | |
United
| Professional | $888.93 | $888.93 | $1,102.27 |