| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,181.55 | $2,181.55 | $2,181.55 | |
Aetna
| Professional | $1,574.51 | $1,574.51 | $1,574.51 | |
United
| Professional | $796.74 | $1,897.00 | $4,173.39 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,181.55 | $2,181.55 | $2,181.55 | |
Aetna
| Professional | $1,574.51 | $1,574.51 | $1,574.51 | |
United
| Professional | $796.74 | $1,897.00 | $4,173.39 |