| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,525.00 | $2,250.00 | |
BCBS
| Facility | $2,991.31 | $3,630.10 | $4,883.64 | |
United
| Facility | $805.00 | $3,081.00 | $4,402.00 |
Hrhc Ntrnl & Xtrnl 2/> Column/Group W/Fissu
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,525.00 | $2,250.00 | |
BCBS
| Facility | $2,991.31 | $3,630.10 | $4,883.64 | |
United
| Facility | $805.00 | $3,081.00 | $4,402.00 |