| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.68 | $993.00 | $2,010.00 | |
United
| Facility | $690.00 | $1,236.00 | $8,817.00 |
Roprtj Crtd Teaec > 1 Mo After Original Opratio
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.68 | $993.00 | $2,010.00 | |
United
| Facility | $690.00 | $1,236.00 | $8,817.00 |