| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,680.00 | $3,680.00 | $3,680.00 | |
Aetna
| Professional | $2,656.00 | $2,656.00 | $2,656.00 | |
United
| Professional | $1,344.00 | $3,200.00 | $7,040.00 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,680.00 | $3,680.00 | $3,680.00 | |
Aetna
| Professional | $2,656.00 | $2,656.00 | $2,656.00 | |
United
| Professional | $1,344.00 | $3,200.00 | $7,040.00 |