| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,461.11 | $1,461.11 | $9,500.00 | |
Medica
| Facility | $1,461.11 | $1,793.96 | $2,541.31 |
Optx&/Rdctj Vrt Fx&/Dislc Pst 1 Vrt Sgm Th
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,461.11 | $1,461.11 | $9,500.00 | |
Medica
| Facility | $1,461.11 | $1,793.96 | $2,541.31 |