| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.05 | $316.05 | $316.05 | |
Aetna
| Professional | $184.14 | $184.14 | $228.11 | |
United
| Professional | $115.43 | $164.90 | $604.63 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.05 | $316.05 | $316.05 | |
Aetna
| Professional | $184.14 | $184.14 | $228.11 | |
United
| Professional | $115.43 | $164.90 | $604.63 |