| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $852.89 | $852.89 | $852.89 | |
Aetna
| Professional | $615.55 | $615.55 | $615.55 | |
United
| Professional | $311.49 | $741.64 | $1,631.61 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $852.89 | $852.89 | $852.89 | |
Aetna
| Professional | $615.55 | $615.55 | $615.55 | |
United
| Professional | $311.49 | $741.64 | $1,631.61 |