| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,296.48 | $6,296.48 | $6,296.48 | |
Aetna
| Professional | $4,544.42 | $4,544.42 | $4,544.42 | |
United
| Professional | $2,299.58 | $3,285.12 | $12,045.44 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,296.48 | $6,296.48 | $6,296.48 | |
Aetna
| Professional | $4,544.42 | $4,544.42 | $4,544.42 | |
United
| Professional | $2,299.58 | $3,285.12 | $12,045.44 |