| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $4,499.46 | $8,742.74 | $8,742.74 | |
United
| Professional | $328.35 | $460.30 | $1,179.34 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $6,907.00 | $15,648.00 | |
Aetna
| Professional | $4,499.46 | $8,742.74 | $8,742.74 | |
United
| Professional | $328.35 | $460.30 | $1,179.34 |