| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $415.00 | $936.00 | $1,831.00 | |
United
| Facility | $225.00 | $513.00 | $1,739.00 |
Osteot Spi Pst/Pstlat Appr 1 Vrt Sgm Ea Vrt Sgm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $415.00 | $936.00 | $1,831.00 | |
United
| Facility | $225.00 | $513.00 | $1,739.00 |