| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $700.31 | $2,293.02 | $2,723.19 | |
Martin's Point
| Facility | $700.31 | $2,454.92 | $15,997.97 |
Tr/Trnspl 1 Tdn W/Musc Redirion/Rerouting Dp
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $700.31 | $2,293.02 | $2,723.19 | |
Martin's Point
| Facility | $700.31 | $2,454.92 | $15,997.97 |