| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $323.93 | $323.93 | $323.93 | |
United
| Professional | $446.25 | $506.70 | $1,407.29 |
Init & Mntr Cdvr Don Lng Orgn Prfuj Sys 1st 2 Hr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $323.93 | $323.93 | $323.93 | |
United
| Professional | $446.25 | $506.70 | $1,407.29 |