| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.95 | $42.95 | $43.33 | |
United
| Professional | $48.03 | $75.88 | $94.19 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.95 | $42.95 | $43.33 | |
United
| Professional | $48.03 | $75.88 | $94.19 |