| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $156.72 | $228.47 | $228.47 | |
United
| Professional | $302.95 | $349.13 | $929.85 |
Revj/ Or Rmvl Perq Isdns Bldr Dysf Ptn
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $156.72 | $228.47 | $228.47 | |
United
| Professional | $302.95 | $349.13 | $929.85 |