| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.85 | $90.85 | $90.85 | |
Aetna
| Professional | $65.56 | $65.56 | $65.56 | |
United
| Professional | $33.18 | $47.40 | $173.80 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.85 | $90.85 | $90.85 | |
Aetna
| Professional | $65.56 | $65.56 | $65.56 | |
United
| Professional | $33.18 | $47.40 | $173.80 |