| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.00 | $35.00 | $110.00 | |
BCBS
| Facility | $0.95 | $1.00 | $1.00 | |
Medica
| Facility | $59.15 | $59.15 | $59.15 |
Anes 2/3 Dgr Brn Exc/Dbrdmt W/Wo Grf Ea 9% Tbs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.00 | $35.00 | $110.00 | |
BCBS
| Facility | $0.95 | $1.00 | $1.00 | |
Medica
| Facility | $59.15 | $59.15 | $59.15 |