| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $527.87 | $527.87 | $527.87 | |
United
| Professional | $221.71 | $221.71 | $527.87 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $527.87 | $527.87 | $527.87 | |
United
| Professional | $221.71 | $221.71 | $527.87 |