| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $554.46 | $554.46 | $554.46 | |
United
| Professional | $87.07 | $124.39 | $456.08 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $554.46 | $554.46 | $554.46 | |
United
| Professional | $87.07 | $124.39 | $456.08 |