| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,553.00 | $5,467.00 | $12,237.00 | |
Medica
| Facility | $829.31 | $1,739.00 | $26,542.00 | |
United
| Facility | $2,269.00 | $5,875.00 | $10,716.00 |
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,553.00 | $5,467.00 | $12,237.00 | |
Medica
| Facility | $829.31 | $1,739.00 | $26,542.00 | |
United
| Facility | $2,269.00 | $5,875.00 | $10,716.00 |