| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $325.31 | $325.31 | $325.31 | |
Aetna
| Professional | $189.53 | $189.53 | $234.79 | |
United
| Professional | $118.81 | $169.73 | $622.34 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $325.31 | $325.31 | $325.31 | |
Aetna
| Professional | $189.53 | $189.53 | $234.79 | |
United
| Professional | $118.81 | $169.73 | $622.34 |