| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $4,495.85 | $5,643.72 | $5,643.72 | |
United
| Professional | $664.32 | $1,151.79 | $2,951.01 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $4,495.85 | $5,643.72 | $5,643.72 | |
United
| Professional | $664.32 | $1,151.79 | $2,951.01 |