| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.99 | $215.81 | $233.69 | |
Aetna
| Professional | $99.06 | $200.89 | $233.69 | |
BCBS
| Facility | $303.47 | $541.52 | $850.23 | |
United
| Professional | $42.66 | $166.17 | $265.16 |
Dev Interr Prgrmg Io Rta Eltrd Ra W/Adj & Reprt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.99 | $215.81 | $233.69 | |
Aetna
| Professional | $99.06 | $200.89 | $233.69 | |
BCBS
| Facility | $303.47 | $541.52 | $850.23 | |
United
| Professional | $42.66 | $166.17 | $265.16 |