| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,244.30 | $1,244.30 | $9,500.00 | |
Medica
| Facility | $1,244.30 | $1,616.11 | $2,163.39 |
Arthrd Pst/Pstlat Tq 1ntrspc Crv Belw C2 Segment
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,244.30 | $1,244.30 | $9,500.00 | |
Medica
| Facility | $1,244.30 | $1,616.11 | $2,163.39 |