| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $973.21 | $973.21 | $973.21 | |
Aetna
| Professional | $567.00 | $567.00 | $702.40 | |
United
| Professional | $355.43 | $507.76 | $1,861.79 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $973.21 | $973.21 | $973.21 | |
Aetna
| Professional | $567.00 | $567.00 | $702.40 | |
United
| Professional | $355.43 | $507.76 | $1,861.79 |