| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,251.48 | $3,251.48 | $3,949.17 | |
Martin's Point
| Facility | $3,251.48 | $3,949.17 | $5,310.35 |
Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,251.48 | $3,251.48 | $3,949.17 | |
Martin's Point
| Facility | $3,251.48 | $3,949.17 | $5,310.35 |