| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.97 | $5,000.27 | $7,838.38 | |
Providence
| Facility | $56.43 | $119.83 | $214.21 | |
United
| Facility | $230.00 | $1,158.00 | $1,401.00 |
Fth/Gft Fr W/Dir Clsr Trnk Ea Addl 20 Sq Cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.97 | $5,000.27 | $7,838.38 | |
Providence
| Facility | $56.43 | $119.83 | $214.21 | |
United
| Facility | $230.00 | $1,158.00 | $1,401.00 |