| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,332.91 | $2,424.15 | $3,955.04 | |
United
| Facility | $6,807.00 | $32,558.00 | $67,081.00 |
Rmvl Impltbl Dfb Plse Gen W/Rplcmt Plse Gen 2 Ld
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,332.91 | $2,424.15 | $3,955.04 | |
United
| Facility | $6,807.00 | $32,558.00 | $67,081.00 |