| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $584.90 | $584.90 | $584.90 | |
United
| Professional | $245.66 | $245.66 | $584.90 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $584.90 | $584.90 | $584.90 | |
United
| Professional | $245.66 | $245.66 | $584.90 |