| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,856.41 | $1,856.41 | $1,856.41 | |
United
| Professional | $2,456.94 | $2,653.62 | $5,576.13 |
Tcat Mv Ann Rcnstj W/Impl Adjst Ann Rcnstj Dev
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,856.41 | $1,856.41 | $1,856.41 | |
United
| Professional | $2,456.94 | $2,653.62 | $5,576.13 |