| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,686.88 | $7,560.86 | $8,552.56 | |
Martin's Point
| Facility | $1,686.88 | $7,560.86 | $26,198.77 |
Insj Eltrd Car Ven Sys Tm Insj Dfb/Pm Pls Gen
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,686.88 | $7,560.86 | $8,552.56 | |
Martin's Point
| Facility | $1,686.88 | $7,560.86 | $26,198.77 |