| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.55 | $470.43 | $16,467.00 | |
Medcost
| Facility | $171.41 | $236.00 | $388.89 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |
Repositioning Perq R/L Vad W/Img Gdn Sep Insj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.55 | $470.43 | $16,467.00 | |
Medcost
| Facility | $171.41 | $236.00 | $388.89 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |