| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $912.07 | $912.07 | $912.07 | |
United
| Professional | $1,207.19 | $1,303.76 | $4,432.50 |
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $912.07 | $912.07 | $912.07 | |
United
| Professional | $1,207.19 | $1,303.76 | $4,432.50 |