| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,126.19 | $2,126.19 | $2,126.19 | |
United
| Professional | $893.00 | $893.00 | $2,126.19 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,126.19 | $2,126.19 | $2,126.19 | |
United
| Professional | $893.00 | $893.00 | $2,126.19 |