| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.10 | $2,528.10 | $2,528.10 | |
Aetna
| Professional | $1,824.63 | $1,824.63 | $1,824.63 | |
United
| Professional | $923.31 | $1,319.01 | $4,836.37 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.10 | $2,528.10 | $2,528.10 | |
Aetna
| Professional | $1,824.63 | $1,824.63 | $1,824.63 | |
United
| Professional | $923.31 | $1,319.01 | $4,836.37 |