| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $366.29 | $4,387.00 | $16,449.00 | |
United
| Facility | $2,312.00 | $2,446.00 | $13,847.00 |
Perq Prcrd Drg 6yr+ W/O Congenital Car Anomaly
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $366.29 | $4,387.00 | $16,449.00 | |
United
| Facility | $2,312.00 | $2,446.00 | $13,847.00 |