| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
United
| Facility | $143.00 | $143.00 | $143.00 |
Osteot Spi Pst/Pstlat Appr 1 Vrt Sgm Ea Vrt Sgm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
United
| Facility | $143.00 | $143.00 | $143.00 |