| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $224.97 | $224.97 | $805.49 | |
United
| Professional | $1,613.89 | $1,685.74 | $4,786.20 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $224.97 | $224.97 | $805.49 | |
United
| Professional | $1,613.89 | $1,685.74 | $4,786.20 |