| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,277.00 | $2,030.33 | $3,527.23 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |
Byp Fem-Ant Tibl Pst Tibl Proneal Art/Oth Dstl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,277.00 | $2,030.33 | $3,527.23 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |