| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,013.07 | $4,013.07 | $4,013.07 | |
Aetna
| Professional | $2,896.39 | $2,896.39 | $2,896.39 | |
United
| Professional | $1,465.64 | $2,093.78 | $7,677.19 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,013.07 | $4,013.07 | $4,013.07 | |
Aetna
| Professional | $2,896.39 | $2,896.39 | $2,896.39 | |
United
| Professional | $1,465.64 | $2,093.78 | $7,677.19 |