| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $942.48 | $942.48 | $942.48 | |
United
| Facility | $5,188.00 | $8,045.72 | $18,767.00 | |
United
| Professional | $1,232.60 | $2,032.46 | $4,413.55 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $942.48 | $942.48 | $942.48 | |
United
| Facility | $5,188.00 | $8,045.72 | $18,767.00 | |
United
| Professional | $1,232.60 | $2,032.46 | $4,413.55 |