| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,559.61 | $2,559.61 | $6,907.00 |
Expl Po Hemrrg Thrombosis/Infctj Xtr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,559.61 | $2,559.61 | $6,907.00 |