| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $152.60 | $152.60 | $152.60 | |
United
| Professional | $212.11 | $228.34 | $670.68 |
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| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $152.60 | $152.60 | $152.60 | |
United
| Professional | $212.11 | $228.34 | $670.68 |