| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $301.35 | $301.35 | $301.35 | |
United
| Professional | $126.57 | $126.57 | $301.35 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $301.35 | $301.35 | $301.35 | |
United
| Professional | $126.57 | $126.57 | $301.35 |