| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,512.60 | $6,515.00 | $11,298.00 | |
Horizon BCBS
| Facility | $10,956.02 | $13,142.33 | $25,063.76 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |
Revj Fem Anast Bpg Grn Opn W/Nonautog Patch Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,512.60 | $6,515.00 | $11,298.00 | |
Horizon BCBS
| Facility | $10,956.02 | $13,142.33 | $25,063.76 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |