| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,728.00 | $2,729.00 | |
BCBS
| Facility | $4,696.97 | $5,700.00 | $7,668.33 | |
United
| Facility | $2,451.00 | $5,431.00 | $9,763.00 |
Thrmbc Opn Arven Fstl W/O Revj Dial Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,728.00 | $2,729.00 | |
BCBS
| Facility | $4,696.97 | $5,700.00 | $7,668.33 | |
United
| Facility | $2,451.00 | $5,431.00 | $9,763.00 |