| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $142.19 | $376.40 | $376.40 | |
United
| Professional | $245.73 | $349.59 | $726.19 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $142.19 | $376.40 | $376.40 | |
United
| Professional | $245.73 | $349.59 | $726.19 |