| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.94 | $38.94 | $38.94 | |
Aetna
| Professional | $22.69 | $22.69 | $28.10 | |
United
| Professional | $14.22 | $20.32 | $74.48 |
Lpoprtn Bld W/5 Maj Class Auto Prfl Ucentrfugtn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.94 | $38.94 | $38.94 | |
Aetna
| Professional | $22.69 | $22.69 | $28.10 | |
United
| Professional | $14.22 | $20.32 | $74.48 |