| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,574.65 | $2,574.65 | $2,574.65 | |
United
| Professional | $1,081.34 | $1,081.34 | $2,574.65 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,574.65 | $2,574.65 | $2,574.65 | |
United
| Professional | $1,081.34 | $1,081.34 | $2,574.65 |