| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,746.92 | $1,746.92 | $1,746.92 | |
Aetna
| Professional | $1,017.77 | $1,260.82 | $1,260.82 | |
United
| Professional | $638.01 | $911.44 | $3,341.93 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,746.92 | $1,746.92 | $1,746.92 | |
Aetna
| Professional | $1,017.77 | $1,260.82 | $1,260.82 | |
United
| Professional | $638.01 | $911.44 | $3,341.93 |