| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.78 | $669.13 | $2,678.80 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 |
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 | $192.78 | $669.13 | $2,678.80 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 |