| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $367.06 | $367.06 | $8,500.00 | |
Medica
| Facility | $367.06 | $445.74 | $1,101.18 |
Rmvl Impltbl Dfb Plse Gen W/Repl Plse Gen 1 Lead
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $367.06 | $367.06 | $8,500.00 | |
Medica
| Facility | $367.06 | $445.74 | $1,101.18 |