| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $899.56 | $899.56 | $10,000.00 | |
Medica
| Facility | $899.56 | $1,227.41 | $2,698.68 | |
United
| Facility | $50,062.00 | $50,062.00 | $50,062.00 |
Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $899.56 | $899.56 | $10,000.00 | |
Medica
| Facility | $899.56 | $1,227.41 | $2,698.68 | |
United
| Facility | $50,062.00 | $50,062.00 | $50,062.00 |