| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,505.60 | $5,505.60 | $5,505.60 | |
United
| Facility | $8,509.00 | $8,509.00 | $27,952.00 | |
United
| Professional | $972.04 | $2,570.65 | $4,174.18 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,505.60 | $5,505.60 | $5,505.60 | |
United
| Facility | $8,509.00 | $8,509.00 | $27,952.00 | |
United
| Professional | $972.04 | $2,570.65 | $4,174.18 |