| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,955.04 | $5,496.04 | |
United
| Facility | $2,838.00 | $5,111.00 | $9,622.00 |
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,955.04 | $5,496.04 | |
United
| Facility | $2,838.00 | $5,111.00 | $9,622.00 |