| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,395.58 | $8,395.58 | $8,395.58 | |
Martin's Point
| Facility | $8,395.58 | $8,395.58 | $8,395.58 |
Remvl Perm Pm Pls Gen W/Repl Plse Gen Mult Lead
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,395.58 | $8,395.58 | $8,395.58 | |
Martin's Point
| Facility | $8,395.58 | $8,395.58 | $8,395.58 |