| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $172.44 | $172.44 | $172.44 | |
United
| Professional | $498.26 | $746.04 | $2,187.17 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $172.44 | $172.44 | $172.44 | |
United
| Professional | $498.26 | $746.04 | $2,187.17 |