| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.61 | $40.61 | $40.61 | |
United
| Professional | $56.45 | $60.79 | $178.34 |
Bdy Surf Activation Mapg Pm/Cvdfb Leads Tm F/Up
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.61 | $40.61 | $40.61 | |
United
| Professional | $56.45 | $60.79 | $178.34 |