| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $282.88 | $282.88 | $282.88 | |
United
| Professional | $118.81 | $118.81 | $282.88 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $282.88 | $282.88 | $282.88 | |
United
| Professional | $118.81 | $118.81 | $282.88 |