| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $602.70 | $602.70 | $602.70 | |
United
| Professional | $253.13 | $253.13 | $602.70 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $602.70 | $602.70 | $602.70 | |
United
| Professional | $253.13 | $253.13 | $602.70 |