| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $538.58 | $538.58 | $538.58 | |
Aetna
| Professional | $388.71 | $388.71 | $388.71 | |
United
| Professional | $196.70 | $281.00 | $1,030.33 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $538.58 | $538.58 | $538.58 | |
Aetna
| Professional | $388.71 | $388.71 | $388.71 | |
United
| Professional | $196.70 | $281.00 | $1,030.33 |