| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.26 | $180.26 | $180.26 | |
Aetna
| Professional | $130.10 | $130.10 | $130.10 | |
United
| Professional | $65.84 | $94.05 | $344.85 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.26 | $180.26 | $180.26 | |
Aetna
| Professional | $130.10 | $130.10 | $130.10 | |
United
| Professional | $65.84 | $94.05 | $344.85 |