| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.95 | $54.51 | $80.02 | |
United
| Professional | $67.92 | $108.39 | $304.20 |
Dev Interr Prgrmg Io Rta Eltrd Ra W/Adj & Reprt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.95 | $54.51 | $80.02 | |
United
| Professional | $67.92 | $108.39 | $304.20 |