| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $254.38 | $254.38 | $254.38 | |
United
| Professional | $333.95 | $723.00 | $1,172.05 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $254.38 | $254.38 | $254.38 | |
United
| Professional | $333.95 | $723.00 | $1,172.05 |