| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $828.00 | $828.00 | $828.00 | |
United
| Professional | $302.39 | $432.00 | $1,584.00 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $828.00 | $828.00 | $828.00 | |
United
| Professional | $302.39 | $432.00 | $1,584.00 |