| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,424.15 | $3,706.14 | $87,351.57 | |
United
| Facility | $6,807.00 | $32,558.00 | $67,081.00 |
Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,424.15 | $3,706.14 | $87,351.57 | |
United
| Facility | $6,807.00 | $32,558.00 | $67,081.00 |