| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $416.78 | $416.78 | $416.78 | |
United
| Professional | $165.11 | $175.07 | $439.90 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $416.78 | $416.78 | $416.78 | |
United
| Professional | $165.11 | $175.07 | $439.90 |