| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,684.00 | $18,600.00 | |
Medica
| Facility | $184.80 | $690.00 | $5,882.00 | |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 |
Roprtj Crtd Teaec > 1 Mo After Original Opratio
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,684.00 | $18,600.00 | |
Medica
| Facility | $184.80 | $690.00 | $5,882.00 | |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 |