| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,454.20 | $7,454.20 | $7,454.20 | |
Aetna
| Professional | $2,396.75 | $5,521.63 | $6,067.72 | |
United
| Professional | $1,299.71 | $1,820.32 | $5,178.71 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,454.20 | $7,454.20 | $7,454.20 | |
Aetna
| Professional | $2,396.75 | $5,521.63 | $6,067.72 | |
United
| Professional | $1,299.71 | $1,820.32 | $5,178.71 |