| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $230.00 | $230.00 | $230.00 | |
Aetna
| Professional | $134.00 | $134.00 | $166.00 | |
United
| Professional | $84.00 | $120.00 | $440.00 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $230.00 | $230.00 | $230.00 | |
Aetna
| Professional | $134.00 | $134.00 | $166.00 | |
United
| Professional | $84.00 | $120.00 | $440.00 |