| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,392.00 | $4,192.00 | $13,200.00 | |
Medica
| Facility | $1,365.08 | $3,340.00 | $13,541.98 | |
United
| Facility | $1,570.00 | $6,980.00 | $13,541.98 |
Revj Fem Anast Bpg Grn Opn W/Nonautog Patch Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,392.00 | $4,192.00 | $13,200.00 | |
Medica
| Facility | $1,365.08 | $3,340.00 | $13,541.98 | |
United
| Facility | $1,570.00 | $6,980.00 | $13,541.98 |