| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $468.54 | $468.54 | $468.54 | |
United
| Professional | $171.12 | $244.46 | $896.35 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $468.54 | $468.54 | $468.54 | |
United
| Professional | $171.12 | $244.46 | $896.35 |