| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,763.29 | |
Providence
| Facility | $658.59 | $838.21 | $957.33 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |
Emblc/Thrmbc Ax Brach Innominate Subcla Art
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $8,763.29 | |
Providence
| Facility | $658.59 | $838.21 | $957.33 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |