| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,445.13 | $2,445.13 | $2,445.13 | |
Aetna
| Professional | $1,424.55 | $1,424.55 | $1,764.75 | |
United
| Professional | $893.00 | $1,275.72 | $4,677.64 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,445.13 | $2,445.13 | $2,445.13 | |
Aetna
| Professional | $1,424.55 | $1,424.55 | $1,764.75 | |
United
| Professional | $893.00 | $1,275.72 | $4,677.64 |