| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.93 | $24.93 | $24.93 | |
Aetna
| Professional | $14.68 | $24.93 | $28.08 | |
United
| Professional | $3.29 | $16.45 | $22.56 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.93 | $24.93 | $24.93 | |
Aetna
| Professional | $14.68 | $24.93 | $28.08 | |
United
| Professional | $3.29 | $16.45 | $22.56 |