| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.74 | $8.74 | $8.74 | |
Aetna
| Professional | $8.74 | $8.74 | $25.32 | |
United
| Professional | $2.94 | $17.68 | $29.73 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.74 | $8.74 | $8.74 | |
Aetna
| Professional | $8.74 | $8.74 | $25.32 | |
United
| Professional | $2.94 | $17.68 | $29.73 |