| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,537.02 | $1,537.02 | $1,537.02 | |
United
| Professional | $645.54 | $645.54 | $1,537.02 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,537.02 | $1,537.02 | $1,537.02 | |
United
| Professional | $645.54 | $645.54 | $1,537.02 |