| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.05 | $54.05 | $54.05 | |
Aetna
| Professional | $31.49 | $31.49 | $39.01 | |
United
| Professional | $19.73 | $28.20 | $103.40 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.05 | $54.05 | $54.05 | |
Aetna
| Professional | $31.49 | $31.49 | $39.01 | |
United
| Professional | $19.73 | $28.20 | $103.40 |