| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,960.85 | $2,960.85 | $2,960.85 | |
Aetna
| Professional | $2,136.96 | $2,136.96 | $2,136.96 | |
United
| Professional | $1,081.34 | $1,544.79 | $5,664.23 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,960.85 | $2,960.85 | $2,960.85 | |
Aetna
| Professional | $2,136.96 | $2,136.96 | $2,136.96 | |
United
| Professional | $1,081.34 | $1,544.79 | $5,664.23 |