| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $58.68 | $73.98 | $73.98 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $71.17 | $91.74 | $188.98 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $58.68 | $73.98 | $73.98 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $71.17 | $91.74 | $188.98 |