| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.00 | $467.01 | $638.59 | |
United
| Professional | $39.34 | $48.09 | $109.71 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.00 | $467.01 | $638.59 | |
United
| Professional | $39.34 | $48.09 | $109.71 |