| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,434.00 | $1,846.00 | $8,135.66 | |
United
| Facility | $2,104.00 | $4,334.00 | $8,676.00 |
Optx&/Rdctj Vrt Fx&/Dislc Pst 1 Vrt Sgm Lm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,434.00 | $1,846.00 | $8,135.66 | |
United
| Facility | $2,104.00 | $4,334.00 | $8,676.00 |