| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,226.25 | $4,226.25 | $4,226.25 | |
Aetna
| Professional | $3,050.25 | $3,050.25 | $3,050.25 | |
United
| Professional | $1,543.50 | $3,675.00 | $8,085.00 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,226.25 | $4,226.25 | $4,226.25 | |
Aetna
| Professional | $3,050.25 | $3,050.25 | $3,050.25 | |
United
| Professional | $1,543.50 | $3,675.00 | $8,085.00 |