| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,226.04 | |
Providence
| Facility | $1,369.61 | $1,733.22 | $2,635.00 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |
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| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,226.04 | |
Providence
| Facility | $1,369.61 | $1,733.22 | $2,635.00 | |
United
| Facility | $1,035.00 | $15,131.00 | $21,396.00 |