| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,757.00 | $6,071.00 | $13,151.00 | |
Medica
| Facility | $55.00 | $2,030.88 | $9,767.70 | |
United
| Facility | $2,269.00 | $6,170.00 | $12,989.00 |
Revj Fem Anast Bpg Grn Opn W/Nonautog Patch Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,757.00 | $6,071.00 | $13,151.00 | |
Medica
| Facility | $55.00 | $2,030.88 | $9,767.70 | |
United
| Facility | $2,269.00 | $6,170.00 | $12,989.00 |