| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,001.00 | $2,001.00 | $2,001.00 | |
Aetna
| Professional | $1,444.20 | $1,444.20 | $1,444.20 | |
United
| Professional | $730.80 | $1,044.00 | $3,828.00 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,001.00 | $2,001.00 | $2,001.00 | |
Aetna
| Professional | $1,444.20 | $1,444.20 | $1,444.20 | |
United
| Professional | $730.80 | $1,044.00 | $3,828.00 |