| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,497.00 | $5,497.00 | $5,497.00 | |
Aetna
| Professional | $3,202.60 | $3,202.60 | $3,967.40 | |
United
| Professional | $2,007.60 | $2,868.00 | $10,516.00 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,497.00 | $5,497.00 | $5,497.00 | |
Aetna
| Professional | $3,202.60 | $3,202.60 | $3,967.40 | |
United
| Professional | $2,007.60 | $2,868.00 | $10,516.00 |