| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.86 | $33.86 | $33.86 | |
BCBS
| Professional | $42.33 | $52.00 | $108.00 | |
United
| Professional | $14.22 | $14.22 | $33.86 |
Lpoprtn Bld W/5 Maj Class Auto Prfl Ucentrfugtn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.86 | $33.86 | $33.86 | |
BCBS
| Professional | $42.33 | $52.00 | $108.00 | |
United
| Professional | $14.22 | $14.22 | $33.86 |