| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $337.47 | $1,064.00 | $2,812.00 | |
United
| Facility | $130.00 | $337.00 | $768.00 |
Optx&/Rdctj Vrt Fx&/Dislc Pst 1 Vrt Sgm Ea
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $337.47 | $1,064.00 | $2,812.00 | |
United
| Facility | $130.00 | $337.00 | $768.00 |