| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $672.64 | $672.64 | $15,648.00 | |
Aetna
| Professional | $391.88 | $391.88 | $485.47 | |
United
| Professional | $245.66 | $584.90 | $1,286.78 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $672.64 | $672.64 | $15,648.00 | |
Aetna
| Professional | $391.88 | $391.88 | $485.47 | |
United
| Professional | $245.66 | $584.90 | $1,286.78 |