| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,002.72 | $1,535.05 | $1,535.05 | |
United
| Professional | $1,919.41 | $2,424.82 | $4,370.18 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $1,002.72 | $1,535.05 | $1,535.05 | |
United
| Professional | $1,919.41 | $2,424.82 | $4,370.18 |