| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.32 | $44.00 | $44.82 | |
United
| Professional | $26.17 | $28.55 | $77.17 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.32 | $44.00 | $44.82 | |
United
| Professional | $26.17 | $28.55 | $77.17 |