| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,943.21 | $1,943.21 | $1,943.21 | |
United
| Professional | $816.15 | $816.15 | $1,943.21 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,943.21 | $1,943.21 | $1,943.21 | |
United
| Professional | $816.15 | $816.15 | $1,943.21 |