| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,198.35 | $2,198.35 | $2,198.35 | |
United
| Professional | $923.31 | $923.31 | $2,198.35 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,198.35 | $2,198.35 | $2,198.35 | |
United
| Professional | $923.31 | $923.31 | $2,198.35 |