| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $659.76 | $1,251.00 | $2,220.08 | |
BCBS
| Facility | $33,128.92 | $40,203.50 | $54,086.58 | |
United
| Facility | $1,560.00 | $17,063.00 | $36,852.00 |
Rmvl Impltbl Dfb Plse Gen W/Rplcmt Plse Gen 2 Ld
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $659.76 | $1,251.00 | $2,220.08 | |
BCBS
| Facility | $33,128.92 | $40,203.50 | $54,086.58 | |
United
| Facility | $1,560.00 | $17,063.00 | $36,852.00 |