| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $717.38 | $6,642.48 | $9,780.54 | |
Martin's Point
| Facility | $717.38 | $6,863.76 | $79,022.00 | |
United
| Facility | $64,123.16 | $64,123.16 | $64,123.16 |
Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $717.38 | $6,642.48 | $9,780.54 | |
Martin's Point
| Facility | $717.38 | $6,863.76 | $79,022.00 | |
United
| Facility | $64,123.16 | $64,123.16 | $64,123.16 |