| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,234.69 | $2,234.69 | $2,234.69 | |
Aetna
| Professional | $1,612.86 | $1,612.86 | $1,612.86 | |
United
| Professional | $816.15 | $1,165.93 | $4,275.06 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,234.69 | $2,234.69 | $2,234.69 | |
Aetna
| Professional | $1,612.86 | $1,612.86 | $1,612.86 | |
United
| Professional | $816.15 | $1,165.93 | $4,275.06 |