| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $577.60 | $577.60 | $659.02 | |
United
| Professional | $1,105.74 | $1,474.33 | $4,911.71 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $577.60 | $577.60 | $659.02 | |
United
| Professional | $1,105.74 | $1,474.33 | $4,911.71 |