| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.43 | $47.43 | $47.43 | |
Aetna
| Professional | $43.87 | $47.43 | $49.20 | |
United
| Professional | $18.80 | $20.66 | $54.66 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.43 | $47.43 | $47.43 | |
Aetna
| Professional | $43.87 | $47.43 | $49.20 | |
United
| Professional | $18.80 | $20.66 | $54.66 |