| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $431.54 | $431.54 | $431.54 | |
Aetna
| Professional | $251.42 | $251.42 | $311.45 | |
United
| Professional | $157.61 | $225.15 | $825.55 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $431.54 | $431.54 | $431.54 | |
Aetna
| Professional | $251.42 | $251.42 | $311.45 | |
United
| Professional | $157.61 | $225.15 | $825.55 |