| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $334.80 | $9,062.00 | $20,243.00 | |
Medcost
| Facility | $254.41 | $334.80 | $585.19 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |
Perq Prcrd Drg 6yr+ W/O Congenital Car Anomaly
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $334.80 | $9,062.00 | $20,243.00 | |
Medcost
| Facility | $254.41 | $334.80 | $585.19 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |