| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.61 | $1,235.00 | $2,080.00 | |
BCBS
| Facility | $2,607.25 | $3,164.02 | $4,256.62 | |
United
| Facility | $241.00 | $850.00 | $1,323.00 |
Split Agrft T/A/L Ea 100 Cm/Ea 1% Bdy Inft/Chld
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.61 | $1,235.00 | $2,080.00 | |
BCBS
| Facility | $2,607.25 | $3,164.02 | $4,256.62 | |
United
| Facility | $241.00 | $850.00 | $1,323.00 |