| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $749.39 | $749.39 | $749.39 | |
United
| Professional | $44.57 | $63.00 | $90.00 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $749.39 | $749.39 | $749.39 | |
United
| Professional | $44.57 | $63.00 | $90.00 |