| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,025.00 | $4,025.00 | $4,025.00 | |
Aetna
| Professional | $2,345.00 | $2,905.00 | $2,905.00 | |
United
| Professional | $1,470.00 | $2,100.00 | $7,700.00 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,025.00 | $4,025.00 | $4,025.00 | |
Aetna
| Professional | $2,345.00 | $2,905.00 | $2,905.00 | |
United
| Professional | $1,470.00 | $2,100.00 | $7,700.00 |