| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $50,584.68 | $117,002.92 | $187,596.25 | |
United
| Facility | $28,768.00 | $84,626.00 | $84,626.00 |
Rmvl Impltbl Dfb Plse Gen W/Rplcmt Plse Gen 2 Ld
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,763.29 | |
BCBS
| Facility | $50,584.68 | $117,002.92 | $187,596.25 | |
United
| Facility | $28,768.00 | $84,626.00 | $84,626.00 |