| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $186.95 | $255.87 | $255.87 | |
United
| Professional | $339.28 | $368.41 | $1,041.36 |
Perq Impltj/Rplcmt Isdns Bldr Dysf Ptn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $186.95 | $255.87 | $255.87 | |
United
| Professional | $339.28 | $368.41 | $1,041.36 |