| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,723.25 | $9,723.25 | $9,723.25 | |
Aetna
| Professional | $7,017.65 | $7,017.65 | $7,017.65 | |
United
| Professional | $1,543.50 | $2,205.00 | $8,085.00 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,723.25 | $9,723.25 | $9,723.25 | |
Aetna
| Professional | $7,017.65 | $7,017.65 | $7,017.65 | |
United
| Professional | $1,543.50 | $2,205.00 | $8,085.00 |