| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,767.57 | $1,767.57 | $1,767.57 | |
Aetna
| Professional | $1,275.73 | $1,275.73 | $1,275.73 | |
United
| Professional | $645.54 | $922.21 | $3,381.44 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,767.57 | $1,767.57 | $1,767.57 | |
Aetna
| Professional | $1,275.73 | $1,275.73 | $1,275.73 | |
United
| Professional | $645.54 | $922.21 | $3,381.44 |