| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,277.00 | $2,034.98 | $3,545.60 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |
In-Situ Fem-Ant Tibl Pst Tibl/Proneal Art
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,277.00 | $2,034.98 | $3,545.60 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |