| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,008.29 | $6,008.29 | $6,008.29 | |
Aetna
| Professional | $4,336.42 | $4,336.42 | $4,336.42 | |
United
| Professional | $2,194.33 | $3,134.76 | $11,494.12 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,008.29 | $6,008.29 | $6,008.29 | |
Aetna
| Professional | $4,336.42 | $4,336.42 | $4,336.42 | |
United
| Professional | $2,194.33 | $3,134.76 | $11,494.12 |