| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $1,722.13 | $9,859.00 | |
Anthem BCBS
| Facility | $4,667.39 | $5,186.00 | $8,238.00 | |
United
| Facility | $12,399.00 | $12,399.00 | $12,399.00 |
Thrmbc Opn Arven Fstl W/O Revj Dial Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $1,722.13 | $9,859.00 | |
Anthem BCBS
| Facility | $4,667.39 | $5,186.00 | $8,238.00 | |
United
| Facility | $12,399.00 | $12,399.00 | $12,399.00 |