| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.64 | $316.64 | $316.64 | |
Aetna
| Professional | $184.48 | $184.48 | $184.48 | |
United
| Professional | $115.65 | $165.21 | $605.77 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.64 | $316.64 | $316.64 | |
Aetna
| Professional | $184.48 | $184.48 | $184.48 | |
United
| Professional | $115.65 | $165.21 | $605.77 |