| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.90 | $27.90 | $49.36 | |
United
| Professional | $43.56 | $59.09 | $182.52 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.90 | $27.90 | $49.36 | |
United
| Professional | $43.56 | $59.09 | $182.52 |