| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,008.19 | $1,008.19 | $8,500.00 | |
Medica
| Facility | $1,008.19 | $1,373.12 | $1,939.88 |
Rpr Non-Union Mtcrpl/Phalanx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,008.19 | $1,008.19 | $8,500.00 | |
Medica
| Facility | $1,008.19 | $1,373.12 | $1,939.88 |