| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $479.30 | $479.30 | $479.30 | |
Aetna
| Professional | $416.78 | $416.78 | $416.78 | |
United
| Professional | $175.05 | $250.07 | $916.92 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $479.30 | $479.30 | $479.30 | |
Aetna
| Professional | $416.78 | $416.78 | $416.78 | |
United
| Professional | $175.05 | $250.07 | $916.92 |