| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,447.19 | $1,447.19 | $1,447.19 | |
Anthem BCBS
| Facility | $12,098.00 | $12,905.00 | $17,206.00 |
Opn Subcla Crtd Art Trpos Nck Inc Ulat
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,447.19 | $1,447.19 | $1,447.19 | |
Anthem BCBS
| Facility | $12,098.00 | $12,905.00 | $17,206.00 |