| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.03 | $50.03 | $50.03 | |
Aetna
| Professional | $50.03 | $50.03 | $83.20 | |
United
| Professional | $64.37 | $71.54 | $203.62 |
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| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.03 | $50.03 | $50.03 | |
Aetna
| Professional | $50.03 | $50.03 | $83.20 | |
United
| Professional | $64.37 | $71.54 | $203.62 |