| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.96 | $23.96 | $38.63 | |
United
| Professional | $37.76 | $57.57 | $167.35 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.96 | $23.96 | $38.63 | |
United
| Professional | $37.76 | $57.57 | $167.35 |