| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,842.21 | $3,458.76 | $8,048.09 | |
Martin's Point
| Facility | $1,842.21 | $5,500.26 | $14,231.15 |
Largsc Exc Tum&/Strpg Cords/Epigl Mcrscp/Tlscp
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,842.21 | $3,458.76 | $8,048.09 | |
Martin's Point
| Facility | $1,842.21 | $5,500.26 | $14,231.15 |