| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,536.50 | $1,536.50 | $1,536.50 | |
Aetna
| Professional | $1,108.95 | $1,108.95 | $1,108.95 | |
United
| Professional | $561.16 | $801.65 | $2,939.40 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,536.50 | $1,536.50 | $1,536.50 | |
Aetna
| Professional | $1,108.95 | $1,108.95 | $1,108.95 | |
United
| Professional | $561.16 | $801.65 | $2,939.40 |