| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $853.61 | $853.61 | $853.61 | |
Aetna
| Professional | $616.08 | $616.08 | $616.08 | |
United
| Professional | $311.75 | $445.36 | $1,632.99 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $853.61 | $853.61 | $853.61 | |
Aetna
| Professional | $616.08 | $616.08 | $616.08 | |
United
| Professional | $311.75 | $445.36 | $1,632.99 |