| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,612.79 | $1,612.79 | $8,500.00 | |
Medica
| Facility | $1,612.79 | $2,185.13 | $4,838.37 |
In-Situ Fem-Ant Tibl Pst Tibl/Proneal Art
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,612.79 | $1,612.79 | $8,500.00 | |
Medica
| Facility | $1,612.79 | $2,185.13 | $4,838.37 |