| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,993.72 | $3,787.95 | $6,264.11 | |
United
| Facility | $4,685.00 | $8,200.00 | $24,205.00 |
Insj Eltrd Car Ven Sys Tm Insj Dfb/Pm Pls Gen
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,993.72 | $3,787.95 | $6,264.11 | |
United
| Facility | $4,685.00 | $8,200.00 | $24,205.00 |