| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.75 | $1,250.00 | $2,825.00 | |
United
| Facility | $225.00 | $537.00 | $1,893.00 |
Slctv Cathj Ea 2nd+ Ord Thrc/Brch/Cphlc Brnch
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.75 | $1,250.00 | $2,825.00 | |
United
| Facility | $225.00 | $537.00 | $1,893.00 |