| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.96 | $23.96 | $23.96 | |
United
| Professional | $33.90 | $43.13 | $58.66 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.96 | $23.96 | $23.96 | |
United
| Professional | $33.90 | $43.13 | $58.66 |