| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $351.18 | $351.18 | $8,500.00 | |
Medica
| Facility | $351.18 | $537.16 | $673.59 |
Osteot Spi Pst/Pstlat Appr 1 Vrt Sgm Ea Vrt Sgm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $351.18 | $351.18 | $8,500.00 | |
Medica
| Facility | $351.18 | $537.16 | $673.59 |