| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $231.25 | $231.25 | $8,500.00 | |
Medica
| Facility | $231.25 | $317.39 | $393.13 |
Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $231.25 | $231.25 | $8,500.00 | |
Medica
| Facility | $231.25 | $317.39 | $393.13 |