| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,118.00 | $6,628.00 | $11,298.00 | |
Aetna
| Professional | $5,695.00 | $11,298.00 | $18,693.00 | |
United
| Facility | $1,846.00 | $7,273.00 | $10,536.00 |
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| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,118.00 | $6,628.00 | $11,298.00 | |
Aetna
| Professional | $5,695.00 | $11,298.00 | $18,693.00 | |
United
| Facility | $1,846.00 | $7,273.00 | $10,536.00 |