| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.37 | $248.63 | $248.63 | |
United
| Professional | $110.50 | $130.84 | $380.37 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.37 | $248.63 | $248.63 | |
United
| Professional | $110.50 | $130.84 | $380.37 |