| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $332.65 | $332.65 | $8,500.00 | |
Medica
| Facility | $332.65 | $410.04 | $997.95 |
Remvl Perm Pm Plse Gen W/Repl Plse Gen Sngl Lead
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $332.65 | $332.65 | $8,500.00 | |
Medica
| Facility | $332.65 | $410.04 | $997.95 |