| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $846.27 | $846.27 | $846.27 | |
United
| Professional | $355.43 | $355.43 | $846.27 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $846.27 | $846.27 | $846.27 | |
United
| Professional | $355.43 | $355.43 | $846.27 |