| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,426.00 | $6,088.00 | $14,379.00 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |
Optx&/Rdctj Vrt Fx&/Dislc Pst 1 Vrt Sgm Lm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,426.00 | $6,088.00 | $14,379.00 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |