| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $415.00 | $936.00 | $1,831.00 | |
United
| Facility | $216.00 | $491.00 | $1,650.00 |
Optx&/Rdctj Vrt Fx&/Dislc Pst 1 Vrt Sgm Ea
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $415.00 | $936.00 | $1,831.00 | |
United
| Facility | $216.00 | $491.00 | $1,650.00 |