| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.63 | $993.00 | $2,010.00 | |
United
| Facility | $690.00 | $1,236.00 | $5,253.00 |
Roprtj > 1 Mo After Original Opration
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.63 | $993.00 | $2,010.00 | |
United
| Facility | $690.00 | $1,236.00 | $5,253.00 |