| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $4,270.25 | $54,826.49 | |
United
| Facility | $4,505.00 | $32,558.00 | $67,081.00 |
Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $4,270.25 | $54,826.49 | |
United
| Facility | $4,505.00 | $32,558.00 | $67,081.00 |