| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.71 | $15.71 | $15.71 | |
United
| Professional | $25.83 | $31.82 | $46.12 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.71 | $15.71 | $15.71 | |
United
| Professional | $25.83 | $31.82 | $46.12 |