| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,919.60 | $2,919.60 | $2,919.60 | |
United
| Professional | $1,226.23 | $1,226.23 | $2,919.60 |
Onc Sld Orgn Tgsa Ffpe Tum Tiss Dna 84/+ Gen
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,919.60 | $2,919.60 | $2,919.60 | |
United
| Professional | $1,226.23 | $1,226.23 | $2,919.60 |