| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,510.21 | $2,510.21 | $2,510.21 | |
United
| Professional | $1,054.29 | $1,054.29 | $2,510.21 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,510.21 | $2,510.21 | $2,510.21 | |
United
| Professional | $1,054.29 | $1,054.29 | $2,510.21 |