| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $198.98 | $1,268.00 | $2,250.00 | |
BCBS
| Facility | $2,607.25 | $3,164.02 | $4,256.62 | |
United
| Facility | $241.00 | $850.00 | $1,323.00 |
Split Agrft F/S/N/H/F/G/M/D Gt Ea 100 Cm/Ea 1 %
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $198.98 | $1,268.00 | $2,250.00 | |
BCBS
| Facility | $2,607.25 | $3,164.02 | $4,256.62 | |
United
| Facility | $241.00 | $850.00 | $1,323.00 |