| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.04 | $33.04 | $33.04 | |
Aetna
| Professional | $33.04 | $35.71 | $59.03 | |
United
| Professional | $47.99 | $65.38 | $119.71 |
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| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.04 | $33.04 | $33.04 | |
Aetna
| Professional | $33.04 | $35.71 | $59.03 | |
United
| Professional | $47.99 | $65.38 | $119.71 |