| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,576.00 | $7,500.00 | |
Medica
| Facility | $139.00 | $575.00 | $4,000.00 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 |
Opn Ax/Subcla Art Expos Dlvr Evasc Prosth Uni
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,576.00 | $7,500.00 | |
Medica
| Facility | $139.00 | $575.00 | $4,000.00 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 |