| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $156.49 | $993.00 | $2,555.07 | |
United
| Facility | $225.00 | $513.00 | $1,581.00 |
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 | $156.49 | $993.00 | $2,555.07 | |
United
| Facility | $225.00 | $513.00 | $1,581.00 |