| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.33 | $30.33 | $55.11 | |
United
| Professional | $13.38 | $75.76 | $77.54 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.33 | $30.33 | $55.11 | |
United
| Professional | $13.38 | $75.76 | $77.54 |