| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.27 | $55.29 | $638.59 | |
United
| Professional | $32.47 | $44.94 | $72.50 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.27 | $55.29 | $638.59 | |
United
| Professional | $32.47 | $44.94 | $72.50 |