| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,286.80 | $7,681.00 | $7,681.00 | |
United
| Facility | $500.00 | $500.00 | $1,168.00 |
Self Care R&B
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,286.80 | $7,681.00 | $7,681.00 | |
United
| Facility | $500.00 | $500.00 | $1,168.00 |