| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $409.55 | $409.55 | $409.55 | |
Aetna
| Professional | $295.58 | $295.58 | $295.58 | |
United
| Professional | $149.57 | $213.68 | $783.49 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $409.55 | $409.55 | $409.55 | |
Aetna
| Professional | $295.58 | $295.58 | $295.58 | |
United
| Professional | $149.57 | $213.68 | $783.49 |