| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,305.36 | $1,305.36 | $1,305.36 | |
United
| Professional | $548.26 | $548.26 | $1,305.36 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,305.36 | $1,305.36 | $1,305.36 | |
United
| Professional | $548.26 | $548.26 | $1,305.36 |