| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $214.94 | $428.79 | $16,467.00 | |
Medcost
| Facility | $160.99 | $249.02 | $372.15 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |
Roprtj Crtd Teaec > 1 Mo After Original Opratio
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $214.94 | $428.79 | $16,467.00 | |
Medcost
| Facility | $160.99 | $249.02 | $372.15 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |