| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $315.89 | $315.89 | $8,500.00 | |
Medica
| Facility | $315.89 | $496.36 | $614.52 |
Arthrd Ant Ntrbd Min Dsc Ea Addl Interspace
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $315.89 | $315.89 | $8,500.00 | |
Medica
| Facility | $315.89 | $496.36 | $614.52 |