| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $725.00 | $725.00 | $725.00 | |
United
| Professional | $304.50 | $304.50 | $725.00 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $725.00 | $725.00 | $725.00 | |
United
| Professional | $304.50 | $304.50 | $725.00 |