| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $816.50 | $816.50 | $816.50 | |
Providence
| Professional | $852.00 | $852.00 | $852.00 | |
United
| Professional | $298.20 | $298.20 | $710.00 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $816.50 | $816.50 | $816.50 | |
Providence
| Professional | $852.00 | $852.00 | $852.00 | |
United
| Professional | $298.20 | $298.20 | $710.00 |