| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,342.00 | $1,821.00 | $3,324.00 | |
United
| Facility | $2,104.00 | $4,334.00 | $8,676.00 |
Optx&/Rdctj Vrt Fx&/Dislc Pst 1 Vrt Sgm Cr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,342.00 | $1,821.00 | $3,324.00 | |
United
| Facility | $2,104.00 | $4,334.00 | $8,676.00 |