| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,224.60 | $5,224.60 | $5,224.60 | |
United
| Professional | $2,194.33 | $2,194.33 | $5,224.60 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,224.60 | $5,224.60 | $5,224.60 | |
United
| Professional | $2,194.33 | $2,194.33 | $5,224.60 |