| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.83 | $80.83 | $80.83 | |
United
| Facility | $1,275.00 | $1,275.00 | $3,239.00 | |
United
| Professional | $111.31 | $258.50 | $310.20 |
Tcat Intra-C Nfs Supersat O2 W/Perq C Revsc Ami
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.83 | $80.83 | $80.83 | |
United
| Facility | $1,275.00 | $1,275.00 | $3,239.00 | |
United
| Professional | $111.31 | $258.50 | $310.20 |