| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.00 | $1,399.00 | $2,250.00 | |
BCBS
| Facility | $3,204.79 | $3,889.17 | $5,232.17 | |
United
| Facility | $950.00 | $3,129.00 | $5,251.00 |
App Mltpln Uni Xtrnl Fix Strtctc Adjmt 1st&Subsq
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.00 | $1,399.00 | $2,250.00 | |
BCBS
| Facility | $3,204.79 | $3,889.17 | $5,232.17 | |
United
| Facility | $950.00 | $3,129.00 | $5,251.00 |