| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.03 | $201.03 | $201.03 | |
Aetna
| Professional | $117.12 | $117.12 | $145.09 | |
United
| Professional | $73.42 | $104.89 | $384.58 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.03 | $201.03 | $201.03 | |
Aetna
| Professional | $117.12 | $117.12 | $145.09 | |
United
| Professional | $73.42 | $104.89 | $384.58 |