| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,656.80 | $10,656.80 | $10,656.80 | |
Martin's Point
| Facility | $10,656.80 | $10,656.80 | $10,656.80 |
Corrj Hlx Vlgs Bncty Sesmdc Prox Metar Osteot
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,656.80 | $10,656.80 | $10,656.80 | |
Martin's Point
| Facility | $10,656.80 | $10,656.80 | $10,656.80 |