| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,071.27 | $3,071.27 | $3,071.27 | |
Anthem BCBS
| Facility | $8,992.79 | $9,992.00 | $19,050.00 |
Opn Subcla Crtd Art Trpos Nck Inc Ulat
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,071.27 | $3,071.27 | $3,071.27 | |
Anthem BCBS
| Facility | $8,992.79 | $9,992.00 | $19,050.00 |