| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $905.22 | $905.22 | $905.22 | |
Aetna
| Professional | $653.33 | $653.33 | $653.33 | |
United
| Professional | $330.60 | $472.29 | $1,731.73 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $905.22 | $905.22 | $905.22 | |
Aetna
| Professional | $653.33 | $653.33 | $653.33 | |
United
| Professional | $330.60 | $472.29 | $1,731.73 |