| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.32 | $941.94 | $2,678.80 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 |
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 | $229.32 | $941.94 | $2,678.80 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 |