| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $607.04 | $607.04 | $15,648.00 | |
Aetna
| Professional | $353.67 | $353.67 | $438.13 | |
United
| Professional | $221.71 | $527.87 | $1,161.31 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $607.04 | $607.04 | $15,648.00 | |
Aetna
| Professional | $353.67 | $353.67 | $438.13 | |
United
| Professional | $221.71 | $527.87 | $1,161.31 |