| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,473.14 | $5,473.14 | $5,473.14 | |
Aetna
| Professional | $1,750.17 | $1,750.17 | $1,750.17 | |
United
| Professional | $930.47 | $1,329.24 | $3,766.18 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,473.14 | $5,473.14 | $5,473.14 | |
Aetna
| Professional | $1,750.17 | $1,750.17 | $1,750.17 | |
United
| Professional | $930.47 | $1,329.24 | $3,766.18 |