| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $693.11 | $693.11 | $15,648.00 | |
Aetna
| Professional | $500.24 | $500.24 | $500.24 | |
United
| Professional | $253.13 | $361.62 | $1,325.94 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $693.11 | $693.11 | $15,648.00 | |
Aetna
| Professional | $500.24 | $500.24 | $500.24 | |
United
| Professional | $253.13 | $361.62 | $1,325.94 |