| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $629.34 | $629.34 | $8,500.00 | |
Medica
| Facility | $629.34 | $916.35 | $1,206.54 | |
United
| Facility | $5,025.00 | $5,025.00 | $5,025.00 |
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $629.34 | $629.34 | $8,500.00 | |
Medica
| Facility | $629.34 | $916.35 | $1,206.54 | |
United
| Facility | $5,025.00 | $5,025.00 | $5,025.00 |