| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.62 | $169.62 | $8,500.00 | |
Medica
| Facility | $169.62 | $214.53 | $508.86 |
Repositioning Perq R/L Vad W/Img Gdn Sep Insj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.62 | $169.62 | $8,500.00 | |
Medica
| Facility | $169.62 | $214.53 | $508.86 |