| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,577.76 | $8,985.20 | $8,985.20 | |
Martin's Point
| Facility | $8,577.76 | $8,985.20 | $77,660.57 |
Rmvl Impltbl Dfb Plse Gen W/Rplcmt Plse Gen 2 Ld
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,577.76 | $8,985.20 | $8,985.20 | |
Martin's Point
| Facility | $8,577.76 | $8,985.20 | $77,660.57 |