| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $816.50 | $816.50 | $816.50 | |
Aetna
| Professional | $589.29 | $589.29 | $589.29 | |
United
| Professional | $298.20 | $426.00 | $1,562.00 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $816.50 | $816.50 | $816.50 | |
Aetna
| Professional | $589.29 | $589.29 | $589.29 | |
United
| Professional | $298.20 | $426.00 | $1,562.00 |