| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,108.64 | $3,706.14 | $3,955.04 | |
United
| Facility | $3,219.00 | $7,228.00 | $12,680.00 |
Tr/Trnspl 1 Tdn W/Musc Redirion/Rerouting Dp
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,108.64 | $3,706.14 | $3,955.04 | |
United
| Facility | $3,219.00 | $7,228.00 | $12,680.00 |