| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,400.00 | $1,700.00 | |
CareSource
| Professional | $119,998.80 | $119,998.80 | $119,998.80 |
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| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,400.00 | $1,700.00 | |
CareSource
| Professional | $119,998.80 | $119,998.80 | $119,998.80 |