| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,519.06 | $1,519.06 | $1,519.06 | |
United
| Professional | $638.01 | $638.01 | $1,519.06 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,519.06 | $1,519.06 | $1,519.06 | |
United
| Professional | $638.01 | $638.01 | $1,519.06 |