| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,126.96 | $4,126.96 | $4,126.96 | |
Martin's Point
| Facility | $4,126.96 | $4,126.96 | $4,126.96 |
Optx Orb Floor Blwt Fx Pri/Bital Appr W/Allplstc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,126.96 | $4,126.96 | $4,126.96 | |
Martin's Point
| Facility | $4,126.96 | $4,126.96 | $4,126.96 |