| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,810.00 | $7,629.00 | $23,978.54 | |
Anthem BCBS
| Facility | $16,131.00 | $80,841.14 | $103,974.00 | |
United
| Facility | $5,900.00 | $13,497.00 | $29,111.00 |
Rmvl Impltbl Dfb Plse Gen W/Rplcmt Plse Gen 2 Ld
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,810.00 | $7,629.00 | $23,978.54 | |
Anthem BCBS
| Facility | $16,131.00 | $80,841.14 | $103,974.00 | |
United
| Facility | $5,900.00 | $13,497.00 | $29,111.00 |