| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,633.33 | $3,633.33 | $3,633.33 | |
Aetna
| Professional | $2,622.32 | $2,622.32 | $2,622.32 | |
United
| Professional | $1,326.96 | $1,895.65 | $6,950.72 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,633.33 | $3,633.33 | $3,633.33 | |
Aetna
| Professional | $2,622.32 | $2,622.32 | $2,622.32 | |
United
| Professional | $1,326.96 | $1,895.65 | $6,950.72 |