| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,475.20 | $5,475.20 | $5,475.20 | |
United
| Professional | $2,299.58 | $2,299.58 | $5,475.20 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,475.20 | $5,475.20 | $5,475.20 | |
United
| Professional | $2,299.58 | $2,299.58 | $5,475.20 |