| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $407.62 | $407.62 | $407.62 | |
United
| Professional | $540.50 | $584.53 | $1,818.77 |
Repos Prev Impl Ss Impltbl Dfb Pacing Eltrd
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $407.62 | $407.62 | $407.62 | |
United
| Professional | $540.50 | $584.53 | $1,818.77 |