| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $435.07 | $9,859.00 | |
Anthem BCBS
| Facility | $33,975.00 | $37,708.00 | $37,844.00 | |
United
| Facility | $12,629.00 | $12,629.00 | $12,629.00 |
Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $435.07 | $9,859.00 | |
Anthem BCBS
| Facility | $33,975.00 | $37,708.00 | $37,844.00 | |
United
| Facility | $12,629.00 | $12,629.00 | $12,629.00 |