| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,283.66 | $8,084.00 | $18,006.00 | |
Horizon BCBS
| Facility | $10,144.00 | $10,144.00 | $10,144.00 | |
United
| Facility | $6,066.00 | $12,315.00 | $27,214.00 |
Arthrd Pst/Pstlat Tq 1ntrspc Crv Belw C2 Segment
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,283.66 | $8,084.00 | $18,006.00 | |
Horizon BCBS
| Facility | $10,144.00 | $10,144.00 | $10,144.00 | |
United
| Facility | $6,066.00 | $12,315.00 | $27,214.00 |