| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,458.76 | $10,182.83 | $11,941.35 | |
Martin's Point
| Facility | $3,458.76 | $10,182.83 | $16,515.45 |
Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,458.76 | $10,182.83 | $11,941.35 | |
Martin's Point
| Facility | $3,458.76 | $10,182.83 | $16,515.45 |